Contract Details
Facility name
TherapySouth Montgomery
Provider ID
P000000001
NPI
1154933091
Tax ID
852574046
Effective Date
9/1/2020
Last Updated
9/24/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
8117 Old Federal Road
Montgomery, AL 36117
United States
Phone
334-380-5920 (Phone)
Billing Details
Address
8117 Old Federal Road
Birmingham, AL 36117
Billing Phone
205-745-3660
Specialty Type
Physical Therapy
Workers Comp Coordinator
Mary
Holden
205-745-3660
mholden@therapysouth.net
Map
Address