BENCHMARK PHYSICAL THERAPY, INC (NPI# 1669703674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669703674 |
| Entity Type | Organization |
| Organization Name | BENCHMARK PHYSICAL THERAPY, INC |
| Other Organization Name | BENCHMARK |
| Practice Address |
1275 Highway 54 W Ste 200 Fayetteville GA 30214-4538 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 7704608609 |
| Practice Fax Number | 7704608629 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2017-09-06 |
| Authorized Official Name | TROY BAGE (PRESIDENT) |
| Authorized Official Telephone | 4232387217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Benchmark | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184924854 | Benchmark Physical Therapy, Inc | Clinic/Center | 1820 Highway 20 Se Ste 160, Conyers, GA 30013-2080 | 2010-10-28 |
| 1265760540 | Benchmark Physical Therapy, Inc | Clinic/Center | 1455 Haw Creek Cir Ste 601, Cumming, GA 30041-6576 | 2009-11-25 |
| 1669604054 | Benchmark Physical Therapy, Inc | Clinic/Center | 1445 Rock Quarry Rd Ste 206, Stockbridge, GA 30281-9078 | 2009-08-18 |
| 1568694164 | Benchmark Physical Therapy, Inc | Clinic/Center | 1111 Bullsboro Dr Ste 3, Newnan, GA 30265-2182 | 2009-08-14 |
| 1053564047 | Benchmark Physical Therapy, Inc | Occupational Therapist | 4825 Sugarloaf Pkwy Ste C, Lawrenceville, GA 30044-8800 | 2008-11-04 |
| 1467629063 | Benchmark Physical Therapy, Inc | Clinic/Center | 155 Medical Way Ste A, Riverdale, GA 30274-4940 | 2008-05-13 |
| 1801815816 | Benchmark Physical Therapy, Inc | Clinic/Center | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2006-07-19 |
| 1083666903 | Benchmark Physical Therapy, Inc | Clinic/Center | 3790 Pleasant Hill Rd Ste 100, Duluth, GA 30096-5143 | 2006-05-17 |
| 1932456753 | Benchmark Physical Therapy, Inc | Clinic/Center | 1111 Lower Fayetteville Rd, Ste 2000, Newnan, GA 30265-6501 | 2012-08-10 |
| 1942592092 | Benchmark Physical Therapy, Inc | Clinic/Center | 2050 Scenic Hwy N Ste A, Snellville, GA 30078-2688 | 2011-05-09 |
| Street Address |
1275 HIGHWAY 54 W STE 200 |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730294729 | Marilyn Marie Horst | Occupational Therapist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2006-08-20 |
| 1093325151 | Michele Weitzner | Physical Therapist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2020-08-04 |
| 1902452196 | Conor Reed Oja | Physical Therapist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2019-08-13 |
| 1255983284 | Beverli Simone Owens | Specialist/Technologist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2019-07-10 |
| 1205490869 | Meghan Bell | Physical Therapist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2019-04-29 |
| 1013571843 | Sarah Grace Osborne | Physical Therapist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2019-04-26 |
| 1871051524 | Shealyn Kay O'donnell | Occupational Therapist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2019-03-12 |
| 1114491370 | Matthew Blake Appleman | Physical Therapist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2019-01-21 |
| 1215400734 | Tucker Keith Forbes | Specialist/Technologist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2019-01-08 |
| 1073038741 | Noemi Liezl Sambas | Physical Therapist | 1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4538 | 2017-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1578110813 | Encore Rehabilitation, Inc. | Clinic/Center | 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 | 2019-08-21 |
| 1104319433 | Rise Physical Therapy Pa | Clinic/Center | 3484 W Wedington Dr Ste 4, Fayetteville, AR 72704 | 2018-06-12 |
| 1710490818 | Marianna Clo Hendrycy | Clinic/Center | 1830 N Crossover Rd, Fayetteville, AR 72701-2725 | 2017-11-10 |
| 1427218106 | Agape Sports Performance Wellness and Rehab | Clinic/Center | 402 Beckett Lane, Fayetteville, GA 30214 | 2008-06-16 |
| 1801446711 | Encore Rehabilitation, Inc. | Clinic/Center | 1816 Huntsville Hwy, Fayetteville, TN 37334-3787 | 2019-09-13 |
| 1245713080 | Held Rehabilitation Services, LLC | Clinic/Center | 500 Lanier Ave W Ste 702, Fayetteville, GA 30214-7643 | 2018-09-07 |
| 1407343502 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 1702 Owen Dr, Fayetteville, NC 28304-3419 | 2018-04-16 |
| 1851743009 | Rise Physical Therapy, P.a. | Clinic/Center | 2668 E Citizens Dr Ste 5, Fayetteville, AR 72703 | 2016-07-11 |
| 1427330737 | Select Physical Therapy | Clinic/Center | 2550 Ravenhill Dr, Fayetteville, NC 28303-9627 | 2011-09-13 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
Please comment or provide details below to improve the information on BENCHMARK PHYSICAL THERAPY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.