Brian    Romano    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1629692090
Tax ID
300714977
Effective Date
8/10/2020
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
Phone
205-957-0870 (Phone)
Billing Details
Address
4500 Montevallo Road
Suite E107
Chattanooga, TN 35210
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address