Carl    Etheredge    RPT
Contract Details
Benchmark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1730831447
Tax ID
300714977
Effective Date
8/25/2023
Last Updated
8/28/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1045 Broadway Park Suite 107
Homewood, AL 35209
United States
Phone
205-573-6278 (Phone)
Billing Details
Address
6397 Lee Highway
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address