Amanda    Elliott    RPT
Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
Provider ID
P000008952
NPI
1184072571
Tax ID
300714977
Effective Date
9/18/2017
Last Updated
9/20/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1713 Montgomery Hwy S Suite 131
Hoover, AL 35244
United States
County
Jefferson
Phone
2054038701 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address