Christopher    Giegal    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1366869737
Tax ID
300714977
Effective Date
12/9/2020
Last Updated
12/4/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1506 N McKenzie Street Suite 109
Foley, AL 36535
United States
Phone
251-923-5590 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address