Jennifer    Fagen    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1750332235
Tax ID
300714977
Effective Date
6/1/2021
Last Updated
6/8/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2846 Moody Parkway
Moody, AL 35004
United States
Phone
205-640-4881 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address