Lauren    Langley    RPT
Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
Provider ID
P000009187
NPI
1326591140
Tax ID
300714977
Effective Date
7/16/2018
Last Updated
7/19/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4704 Cahaba River Road Suite J2
Birmingham, AL 35243
United States
County
Jefferson
Phone
2052988711 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address