Dylan    Waldrip    RPT
Contract Details
Benchmark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1669259990
Tax ID
300714977
Effective Date
9/11/2023
Last Updated
9/12/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2846 Moody Pkway 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