BENCHMARK PHYSICAL THERAPY, INC (NPI# 1801815816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801815816 |
| Entity Type | Organization |
| Organization Name | BENCHMARK PHYSICAL THERAPY, INC |
| Other Organization Name | BENCHMARK |
| Practice Address |
925 Garrett St Se Ste J Atlanta GA 30316-6833 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 4046245407 |
| Practice Fax Number | 4046245409 |
| Mailing Telephone | (423) 238-7217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2006-07-19 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE GROUP PROVIDER NUMBER | DD7784 | 01 |
| 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 |
| 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 |
| 1528350675 | Benchmark Physical Therapy, Inc | Occupational Therapist | 1370 Buford Hwy Ste 108, Cumming, GA 30041-2723 | 2011-05-09 |
| Street Address |
925 GARRETT ST SE STE J |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-6833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462870 | Spencer Edward Kasmere | Physical Therapist | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2019-08-16 |
| 1053849802 | Stephen Paden Wallace | Physical Therapist | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2017-05-24 |
| 1881944395 | Lauren Blount Raubenolt | Physical Therapist | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2012-09-12 |
| 1538465448 | Krista Ann Wingard | Physical Therapy Assistant | 925 Garrett St Se Ste J, Atlanta, GA 30316-6833 | 2011-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205441987 | Fortitude Movement & Strength Inc. | Clinic/Center | 5300 Peachtree Rd Unit 2508, Atlanta, GA 30341-2457 | 2020-09-10 |
| 1225646821 | Innovative Therapeutic Solutions, LLC | Clinic/Center | 360 Pharr Rd Ne Apt 404, Atlanta, GA 30305-2391 | 2020-07-20 |
| 1700355690 | Lindsay Hazel Bautista | Clinic/Center | 3380 Peachtree Rd Ne Unit 814, Atlanta, GA 30326-1645 | 2018-11-20 |
| 1891281218 | Well Equipt | Clinic/Center | 2426 Ridgewood Rd Nw, Atlanta, GA 30318-1316 | 2018-07-09 |
| 1811426075 | Assistcare Surgical Aftercare and Physical Therapy | Clinic/Center | 3576 Chamblee Tucker Rd Ste Bc&d, Atlanta, GA 30341-4424 | 2017-06-09 |
| 1871022541 | Aczi, LLC | Clinic/Center | 2800 N Druid Hills Rd Ne Ste C, Atlanta, GA 30329-3987 | 2017-06-07 |
| 1134587074 | Functionize Health & Physical Therapy | Clinic/Center | 1199 Saint Andrews Cir, Atlanta, GA 30338-3201 | 2016-02-07 |
| 1952779043 | Holistic Occupational and Physical Therapy | Clinic/Center | 1393 Blairwood Ct, Atlanta, GA 30331-7491 | 2015-09-08 |
| 1225416100 | Fit Core Physical Therapy, Inc. | Clinic/Center | 4779 S Atlanta Rd Se Ste 200, Atlanta, GA 30339-1565 | 2015-05-12 |
| 1538561659 | Golden Way Group Inc | Clinic/Center | 235 Peachtree Street, Suite 400, Atlanta, GA 30303 | 2014-09-19 |
| Find all providers in ATLANTA | ||||
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| 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.