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
1116 Nashville Highway Suite 109
Columbia, TN 38401
United States
Phone
931-840-5116 (Phone)
Billing Details
Address
1116 Nashville Highway
Suite 109
Columbia, TN 38401
Billing Phone
931-840-5116
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address