Contract Details
Benchmark Physical Therapy
Facility name
BenchMark Physical Therapy
Provider ID
P000008902
NPI
1104878354
Tax ID
621754125
Effective Date
6/27/2017
Last Updated
4/19/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
State Fee Schedule Multiplier
0.00
Exhibit ID
AM_459
Location Details
Address
517 N Main Street B
Greeneville, TN 37745
United States
County
Greene
Phone
4236381111 (Phone)
Billing Details
Address
517 N Main Street B
Chattanooga, TN 37745
Billing Phone
4236381111
Specialty Type
Physical Therapy
Map
Address