Organization
BENCHMARK PHYSICAL THERAPY, INC
Active
Other names
Benchmark
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY BAGE (PRESIDENT)
(423) 238-7217
Entity
Organization
Contact information
Practice address
3790 PLEASANT HILL RD STE 100, DULUTH, GA 30096-5143
(770) 497-4228
(770) 497-4474
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD7784
RAILROAD MEDICARE GROUP PROVIDER NUMBER
GA
Enumeration date
05/17/2006
Last updated
09/06/2017
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