Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1952039521
Tax ID
883148972
Effective Date
11/1/2022
Last Updated
11/23/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_476
Location Details
Address
1999 Rutledge Pike
Blaine, TN 37709
United States
Phone
865-498-6900 (Phone)
Billing Details
Address
8059 Mitchell Lane
Birmingham, AL 35216
Billing Phone
2056070632
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address