Contract Details
Facility name
Select Physical Therapy of Birmingham
Provider ID
P000002403
NPI
1023054418
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
553 Brookwood Village
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058714243 (Phone)
Billing Details
Address
P.O. Box 534509
Atlanta, GA 30353
Billing Phone
2058714243
Specialty Type
Physical Therapy
Map
Address