Jaclyn    Aida    RPT
Contract Details
Benchmark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1508605759
Tax ID
300714977
Effective Date
6/3/2024
Last Updated
6/11/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
4289 S Shades Crest Road Suite 108
Hoover, AL 35244
United States
Phone
205-621-8822 (Phone)
Billing Details
Address
4289 S Shades Crest Road
Suite 108
Hoover, AL 35244
Billing Phone
205-621-8822
Specialty Type
Physical Therapy
Map
Address