Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Riverdale
Provider ID
P000008884
NPI
1467629063
Tax ID
581443056
Effective Date
6/19/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
155 Medical Way Suite A
Riverdale, GA 30274
United States
County
Clayton
Phone
7709912747 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7709912747
Specialty Type
Physical Therapy
Map
Address