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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 GROUP PROVIDER NUMBER

General Provider Information

NPI Number : 1801815816
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 : 925 GARRETT ST SE STE J
Second Line :
City : ATLANTA
State : GA
Zip : 30316-6833
Country : US
Telephone Number : 404-624-5407
Fax Number : 404-624-5409
Authorized Official
Title or Position : PRESIDENT
Name : TROY BAGE
Credential :
Telephone Number : 423-238-7217
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/21/2022

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Directions to “BENCHMARK PHYSICAL THERAPY, INC ” Practice Location

Language Start Address Practice Location
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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