Contract Details
Southern Physical Rehab Network
Facility name
APTOR Physical Therapy
Provider ID
P000002000
NPI
1134175623
Tax ID
631105473
Effective Date
8/10/2000
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
120 16th Street Northeast
Fayette, AL 35555
United States
County
Fayette
Phone
2059322244 (Phone)
Billing Details
Address
109 9th Street Southwest
Suite C
Cullman, AL 35055
Billing Phone
2567369926
Specialty Type
Physical Therapy
Map
Address