Kaylin    Goodwin    RPT
Contract Details
Benchmark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1508412867
Tax ID
300714977
Effective Date
7/18/2022
Last Updated
7/27/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7721 Airport Blvd Suite E120
Mobile, AL 36608
United States
Phone
251-631-3680 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address