Member Login
Home
About Us
Become a Provider
Become a Member
Administrators
Contact Us
Member Login
Katie
Raisor
RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1659642916
Tax ID
300714977
Effective Date
8/17/2020
Last Updated
9/10/2020
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
5009 River Chase Drive Suite 100-C
Phenix City, AL 36867
United States
Phone
334-298-0650
(
Phone
)
Billing Details
Address
5009 River Chase Drive
Suite 100-C
Phenix City, AL 36867
Billing Phone
334-298-0650
Specialty Type
Physical Therapy
Map
Address