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Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy
Provider ID
P000000001
NPI
1659642916
Tax ID
300714977
Effective Date
5/17/2021
Last Updated
5/10/2021
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
8230 Spanish Fort Blvd Suite B
Spanish Fort, AL 36527
United States
Phone
251-385-7979
(
Phone
)
Fax
251-545-3809
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Lauren
Larkey
800-578-1104
workcomp@urpt.com
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