Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Smyrna Vinings
Provider ID
P000008854
NPI
1558622217
Tax ID
270039366
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
4600 West Village Place SE Suite 4007
Smyrna, GA 30080
United States
County
Cobb
Phone
7704382015 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7704382015
Specialty Type
Physical Therapy
Map
Address