Daniel    Grace    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1659642916
Tax ID
300714977
Effective Date
8/24/2020
Last Updated
9/10/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1910 28th Avenue South Suite 104
Homewood, AL 35209
United States
Phone
205-202-2273 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address