HOME
ABOUT US
CALENDAR
PRESS
CONTACT US
FIND A THERAPIST
home
find out more
Contact Name:
Company:
Address:
City:
State:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Phone:
E-mail:
Web site:
I'd like to know more about:
The PTPN Outcomes Program
Physiquality
New Therapist Credentialing Form
Master Contract Details and Payer List
PQRI Information
PTPN Documentation Forms
PTPN Member List for geographic areas (specify below)
Resource Sheet from Credentialing Site Visit (specify which sheet below)
How to Identify and Bill for PTPN Patients: A Multimedia Training Presentation (on CD)
Information on becoming a PTPN therapist
Information on contracting with PTPN nationally
Information on contracting with PTPN in my state
PTPN Member List (PTPN Contractors only - specify area below)
Other: Please specify below
Additional Information: