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NPI Code Detail

MEDICARE: BENCHMARK PHYSICAL THERAPY, INC

MEDICARE: BENCHMARK PHYSICAL THERAPY, INC
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
1261QM1300XMulti-Specialty Clinic/Center
2261QR0400XRehabilitation Clinic/Center
3261QP2000XPhysical Therapy Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DD7784OTHERGARAILROAD MEDICARE

General Provider Information

NPI Number : 1467629063
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENCHMARK PHYSICAL THERAPY, INC
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2564
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 155 MEDICAL WAY STE A
Second Line :
City : RIVERDALE
State : GA
Zip : 30274-4940
Country : US
Telephone Number : 770-991-2747
Fax Number : 770-991-1704
Authorized Official
Title or Position : PRESIDENT
Name : TROY BAGE
Credential :
Telephone Number : 423-238-7217
Provider Enumeration Date : 05/13/2008
Last Update Date : 09/06/2017

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Directions to “BENCHMARK PHYSICAL THERAPY, INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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