Contract Details
Facility name
Star Physical Therapy
Provider ID
P000000001
NPI
1396704094
Tax ID
621707893
Effective Date
12/15/2023
Last Updated
1/22/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
404 Castle Heights Ave N Suite G
Lebanon, TN 37087
United States
Phone
615-443-4938 (Phone)
Billing Details
Address
404 Castle Heights Ave N
Suite G
Lebanon, TN 37087
Billing Phone
615-443-4938
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address