Contract Details
Facility name
Star Physical Therapy
Provider ID
P000000001
NPI
1396704094
Tax ID
621707893
Effective Date
12/15/2023
Last Updated
1/18/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
232 Hutton Place Suite 120
Ashland City, TN 37015
United States
Phone
615-792-5734 (Phone)
Billing Details
Address
232 Hutton Place
Suite 120
Ashland City, TN 37015
Billing Phone
615-792-5734
Specialty Type
Physical Therapy
Map
Address