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
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
State Fee Schedule Multiplier
0.00
Exhibit ID
AM_459
Location Details
Address
275 Jackson Meadows Drive Suite 101
Hermitage, TN 37076
United States
County
Davidson
Phone
6158857848 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6158857848
Specialty Type
Physical Therapy
Map
Address