Contract Details
Facility name
P4 Physical Therapy - Ardmore
Provider ID
P000000001
NPI
1902499494
Tax ID
850589007
Effective Date
3/18/2021
Last Updated
11/23/2022
Direct Contract
Yes
Term Date
10/31/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
30285 Ardmore Avenue
Harvest, AL 35739
United States
Phone
256-937-1360 (Phone)
Billing Details
Address
30285 Ardmore Avenue
Harvest, AL 35739
Billing Phone
256-937-1360
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Tracy
Causey
tracy.causey@p4physicaltherapy.com
Map
Address