Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1437750841
Tax ID
853692040
Effective Date
3/18/2021
Last Updated
11/23/2022
Direct Contract
Yes
Term Date
10/31/2022
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_476
Location Details
Address
1240 Rutledge Pike
Blaine, TN 37709
United States
Phone
865-498-6900 (Phone)
Billing Details
Address
1240 Rutledge Pike
Blaine, TN 37709
Billing Phone
865-498-6900
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Tracy
Causey
tracy.causey@p4physicaltherapy.com
Map
Address