Contract Details
Facility name
Select Physical Therapy
Provider ID
P000002401
NPI
1932178860
Tax ID
631133454
Effective Date
12/1/1997
Last Updated
4/12/2018
Direct Contract
Yes
Term Date
5/6/2014
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2763 Office Park Circle
Montgomery, AL 36117
United States
County
Montgomery
Phone
3342848490 (Phone)
Billing Details
Address
P.O. Box 534509
Atlanta, GA 30353
Billing Phone
3342848490
Specialty Type
Physical Therapy
Map
Address