Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1568195386
Tax ID
883148972
Effective Date
11/1/2022
Last Updated
8/22/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
385 Bryan Road Suite 360
Sumiton, AL 35148
United States
Phone
205-737-1800 (Phone)
Billing Details
Address
203 Narrow
Birmingham, AL 35242
Billing Phone
205-607-0632
Specialty Type
Physical Therapy
Map
Address