Contract Details
Facility name
BenchMark Physical Therapy
Provider ID
P000000001
NPI
1780636068
Tax ID
270039366
Effective Date
12/28/2020
Last Updated
2/10/2025
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
29 Main Street Suite 130
Dawsonville, GA 30534
United States
Phone
706-344-1323 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4232387217
Specialty Type
Physical Therapy
Map
Address