Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Covington
Provider ID
P000008799
NPI
1962743674
Tax ID
270039366
Effective Date
6/19/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
11186 Highway 142 N
Covington, GA 30014
United States
County
Newton
Phone
6787123692 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6787123692
Specialty Type
Physical Therapy
Map
Address