Wylie    Baker    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1063251940
Tax ID
300714977
Effective Date
8/2/2024
Last Updated
8/16/2024
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
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address