Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1750057824
Tax ID
872188664
Effective Date
5/18/2021
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
34885 US Highway 43
Hackleburg, AL 35564
United States
Phone
659-667-0100 (Phone)
Billing Details
Address
34885 US Highway 43
Hackleburg, AL 35564
Billing Phone
659-667-0100
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Tracey
Causey
669-667-0100
tracy.causey@p4physicaltherapy.com
Map
Address