Lacey    Hill    RPT
Contract Details
Benchmark Physical Therapy of Alabama, LLC
Facility name
Provider ID
P000009038
NPI
1891200093
Tax ID
300714977
Effective Date
1/2/2018
Last Updated
1/8/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2600 Highway 58 Suite 1
Helena, AL 35080
United States
County
Shelby
Phone
2056218822 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address