Amanda    Mills    RPT
Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
Provider ID
P000009037
NPI
1447626528
Tax ID
300714977
Effective Date
1/2/2018
Last Updated
7/16/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
3947 Gulf Shores Pkwy Suite 260
Gulf Shores, AL 36542
United States
County
Baldwin
Phone
2519430803 (Phone)
Billing Details
Address
3947 Gulf Shores Pkwy
Suite 260
Ooltewah, TN 36542
Billing Phone
8005781104
Specialty Type
Physical Therapy
Map
Address