Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1952039521
Tax ID
883148972
Effective Date
11/1/2022
Last Updated
11/30/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1229 Huntsville Highway Suite B
Fayetteville, TN 37334
United States
Phone
931-532-0960 (Phone)
Billing Details
Address
8059 Mitchell Lane
Birmingham, AL 35216
Billing Phone
205-607-0632
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address