Rachel    Selman    RPT
Contract Details
BenchMark Physical Therapy - Phenix City
Facility name
Provider ID
P000009295
NPI
1811347545
Tax ID
300714977
Effective Date
1/9/2019
Last Updated
1/10/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5009 River Chase Drive Suite 100C
Phenix City, AL 36867
United States
County
Russell
Phone
3342980650 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address