Contract Details
Facility name
Star Physical Therapy
Provider ID
P000000001
NPI
1396704094
Tax ID
621707893
Effective Date
12/15/2023
Last Updated
1/24/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
4886 Port Royal Road Suite 180
Spring Hill, TN 37174
United States
Phone
931-499-7350 (Phone)
Billing Details
Address
4886 Port Royal Road
Suite 180
Spring Hill, TN 37174
Billing Phone
931-499-7350
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address