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Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1922359082
Tax ID
300714977
Effective Date
9/8/2022
Last Updated
9/9/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
153 Narrows Parkway Suite 101
Birmingham, AL 35242
United States
Phone
205-981-4534 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address