Contract Details
Facility name
BenchMark Physical Therapy
Provider ID
P000000001
NPI
1811547680
Tax ID
384037386
Effective Date
3/14/2022
Last Updated
2/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1423 Magnolia Street Suite F
Gulfport, MS 39507
United States
Phone
228-256-6020 (Phone)
Billing Details
Address
1423 Magnolia Street
Suite F
Gulfport, MS 39507
Billing Phone
228-256-6020
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Lauren
Larkey
workcomp@urpt.com
800-578-1104
Map
Address