Lorenzo    Catlett    RPT
Contract Details
BenchMark Physical Therapy
Facility name
Provider ID
P000000001
NPI
1962233783
Tax ID
300714977
Effective Date
8/12/2024
Last Updated
8/21/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
41 Shell Street
Saraland, AL 36571
United States
Phone
251-308-2911 (Phone)
Billing Details
Address
41 Shell Street
Chattanooga, TN 36571
Billing Phone
Specialty Type
Physical Therapy
Map
Address