Organization
BENCHMARK PHYSICAL THERAPY OF NC, LLC
Active
Other names
BenchMark PT - Oliver's Crossing
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
5054 PETERS CREEK PKWY, STE 18, WINSTON SALEM, NC 27127-7276
(336) 771-3900
(336) 771-7002
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/15/2016
Last updated
09/01/2017
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