MEDICARE: BENCHMARK PHYSICAL THERAPY MICHIGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1073481800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENCHMARK PHYSICAL THERAPY MICHIGAN

Provider Business Mailing Address
First Line	:	1200 CORPORATE DR STE 400
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35242-5424
Country	:	US
Telephone Number	:	423-238-7217
Fax Number	:

Provider Business Practice Location Address
First Line	:	27650 DEQUINDRE RD STE 2300
Second Line	:
City	:	WARREN
State	:	MI
Zip	:	48092-2818
Country	:	US
Telephone Number	:	586-486-0834
Fax Number	:	586-486-0835

Authorized Official
Title or Position	:	DIRECTOR OF CREDENTIALING
Name	:	LAUREN HILL
Credential	:
Telephone Number	:	972-465-0296

Provider Enumeration Date	:	10/24/2025
Last Update Date	:	10/24/2025

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Directions to “BENCHMARK PHYSICAL THERAPY MICHIGAN ” Practice Location

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