Contract Details
Facility name
BenchMark Physical Therapy
Provider ID
P000000001
NPI
1659642916
Tax ID
300714977
Effective Date
1/17/2023
Last Updated
1/9/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
356 Hollywood Blvd
Homewood, AL 35209
United States
Phone
205-855-0101 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
423-238-7217
Specialty Type
Physical Therapy