Audrey    Spikes    OTR
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1659642916
Tax ID
300714977
Effective Date
10/12/2020
Last Updated
10/12/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
100 N Florida Street Suite 31
Mobile, AL 36607
United States
Phone
251-300-8874 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Occupational Therapy
Map
Address