James  C  McDiarmid    RPT
Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
Provider ID
P000009089
NPI
1376580928
Tax ID
300714977
Effective Date
2/1/2018
Last Updated
2/26/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
1713 Montgomery Highway South Suite 131
Birmingham, AL 35244
United States
County
Jefferson
Phone
2054038701 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address