Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000007937
NPI
1306991781
Tax ID
382617193
Effective Date
11/2/2011
Last Updated
2/8/2019
Direct Contract
Yes
Term Date
7/31/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2028 West Poplar Avenue Suite 113
Collierville, TN 38017
United States
County
Shelby
Phone
9018505500 (Phone)
Billing Details
Address
P.O. Box 636002
Littleton, CO 80163
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address