Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000007944
NPI
1205852688
Tax ID
382617193
Effective Date
11/2/2011
Last Updated
2/8/2019
Direct Contract
Yes
Term Date
10/9/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2867 Poplar Avenue
Memphis, TN 38111
United States
County
Shelby
Phone
9014585249 (Phone)
Billing Details
Address
P.O. Box 636002
Littleton, CO 80163
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address