Roxanne    Martin    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000009450
NPI
1245260942
Tax ID
300714977
Effective Date
11/15/2019
Last Updated
1/11/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4500 Montevallo Road Suite E107
Irondale, AL 35210
United States
County
Jefferson
Phone
2059570870 (Phone)
Billing Details
Address
4500 Montevallo Road
Suite B108
Ooltewah, TN 35210
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address