# BENCHMARK PHYSICAL THERAPY OF ALABAMA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BenchMark PT - Homewood East, AL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184269656
- **Authorized official:** KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
- **Authorized official phone:** (423) 238-2313

## Contact information

- **Practice address:** 1910 28TH AVE S STE 104, HOMEWOOD, AL 35209-2604
- **Practice address phone:** (205) 202-2273
- **Practice address fax:** (205) 202-2308
- **Mailing address:** 6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
- **Mailing address phone:** (423) 238-7217
- **Mailing address fax:** (423) 238-3473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 11/08/2019
- **Last updated:** 11/08/2019