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Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1316576333
Tax ID
850588357
Effective Date
3/18/2021
Last Updated
11/23/2022
Direct Contract
Yes
Term Date
10/31/2022
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
8059 Mitchell Lane
Birmingham, AL 35216
United States
Phone
205-999-4622
(
Phone
)
Billing Details
Address
8059 Mitchell Lane
Birmingham, AL 35216
Billing Phone
205-999-4622
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Tracy
Causey
tracy.causey@p4physicaltherapy.com
Map
Address