Contract Details
BenchMark Physical Therapy of Alabama, LLC
Facility name
BenchMark Physical Therapy - Madison
Provider ID
P000007928
NPI
1346671906
Tax ID
300714977
Effective Date
6/1/2014
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
12110 County Line Road Suite B
Madison, AL 35756
United States
County
Limestone
Phone
2568500140 (Phone)
Billing Details
Address
8823 Production Lane
Ooltewah, TN 37363
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address