Name: Independent Physical Therapy of GA
Address: 1205 Johnson Ferry Raod Suite 130, Marietta, 30068, United States
Telephone: 770-565-3201

Contract Details

BenchMark Physical Therapy

Facility name

Independent Physical Therapy of GA

Provider ID

P000000001

NPI

1780636068

Tax ID

270039366

Effective Date

3/15/2021

Last Updated

3/15/2021

Direct Contract

Yes

Status

Active

Contract Discounts

Discount Type

State Fee Schedule Multiplier

85.00

Location Details

Address

1205 Johnson Ferry Raod Suite 130

Marietta, GA 30068

United States

Phone

770-565-3201 (Phone)

Billing Details

Address

6397 Lee Hwy

Suite 300

Chattanooga, TN 37421

Billing Phone

4232387217

Specialty Type

Physical Therapy

Workers Comp Coordinator

Lauren

Larkey

800-578-1104

workcomp@urpt.com

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