Contract Details
Facility name
Star Physical Therapy
Provider ID
P000000001
NPI
1396704094
Tax ID
621707893
Effective Date
1/15/2024
Last Updated
1/22/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
6650 Eastgate Blvd Suite 105
Lebanon, TN 37090
United States
Phone
615-466-5200 (Phone)
Billing Details
Address
6650 Eastgate Blvd
Suite 105
Lebanon, TN 37090
Billing Phone
615-466-5200
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address