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Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1053944413
Tax ID
300714977
Effective Date
1/19/2023
Last Updated
1/26/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2846 Moody Parkway Suite 200
Moody, AL 35004
United States
Phone
205-640-0257 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address