Contract Details
Facility name
BenchMark Physical Therapy
Provider ID
P000000001
NPI
1659642916
Tax ID
300714977
Effective Date
9/13/2021
Last Updated
8/27/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2822 Lakeshore Parkway
Birmingham, AL 35211
United States
Phone
205-848-6841 (Phone)
Billing Details
Address
6397 Lee Highway
Suite 300
Chattanooga, TN 37421
Billing Phone
Specialty Type
Physical Therapy
Website
Map
Address