Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1295350783
Tax ID
851376126
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
209 Fitness Way Suite D
Athens, AL 35611
United States
Phone
256-867-0100 (Phone)
Billing Details
Address
209 Fitness Way
Suite D
Athens, AL 35611
Billing Phone
256-867-0100
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Tracy
Causey
tracy.causey@p4physicaltherapy.com
Map
Address