Amanda    Mills    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000009037
NPI
1447626528
Tax ID
300714977
Effective Date
12/17/2018
Last Updated
7/16/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
100 N Florida Street Suite 31
Mobile, AL 36607
United States
County
Mobile
Phone
2513008874 (Phone)
Billing Details
Address
100 N Florida Street
Suite 31
Chattanooga, TN 36607
Billing Phone
2513008874
Specialty Type
Physical Therapy
Map
Address