Brannigan    Keller    RPT
Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
Provider ID
P000009388
NPI
1326607185
Tax ID
300714977
Effective Date
6/10/2019
Last Updated
8/16/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
153 Narrows Pkwy Suite 101
Birmingham, AL 35242
United States
County
Shelby
Phone
2059814534 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address