Contract Details
Facility name
Restore Therapy
Provider ID
P000003510
NPI
1164476644
Tax ID
631129933
Effective Date
5/16/2012
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
245 Cahaba Valley Parkway Suite 200
Pelham, AL 35124
United States
County
Shelby
Phone
2059426820 (Phone)
Billing Details
Address
245 Cahaba Valley Parkway
Suite 200
Pelham, AL 35124
Billing Phone
2059426820
Specialty Type
Physical Therapy
Map
Address