Contract Details
Facility name
ACT Physical Therapy
Provider ID
P000001934
NPI
1326133463
Tax ID
270134113
Effective Date
1/16/2006
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
919 Sharit Avenue Suite 101
Gardendale, AL 35071
United States
County
Jefferson
Phone
2056083380 (Phone)
Billing Details
Address
P.O. Box 661495
Birmingham, AL 35266
Billing Phone
2059795882
Specialty Type
Physical Therapy
Map
Address