Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy St Simons Island
Provider ID
P000008855
NPI
1023489432
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
20 Market Street Suite 102
Saint Simons Island, GA 31522
United States
County
Glynn
Phone
9126345885 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
9126345885
Specialty Type
Physical Therapy
Map
Address