Katie    Shipman    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1699124495
Tax ID
300714977
Effective Date
1/28/2020
Last Updated
3/11/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
12110 County Line Road Suite B
Madison, AL 35756
United States
Phone
256-232-9001 (Phone)
Billing Details
Address
12110 County Line Road
Suite B
Chattanooga, TN 35756
Billing Phone
Specialty Type
Physical Therapy