OrganizationBenchmark Physical Therapy Of Or, LlcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1424 Molalla Ave, Oregon City, OR 97045-40041234567897(423) 238-7217PECOS EnrollmentBased on the most recent information from CMS, provider Benchmark Physical Therapy Of Or, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013429927Provider TypeOrganizationFull NameBenchmark Physical Therapy Of Or, LlcSubpartNoEnumeration Date11/1/2017Last Updated11/1/2017Contact InformationPractice LocationPractice Address1424 Molalla Ave, Oregon City, OR 97045-4004Phone1234567897FaxUnlisted FaxMailing LocationMailing Address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564Phone(423) 238-7217Fax(423) 238-3473Authorized OfficialNameJohanneson, Kevin (Vp Revenue Cycle)Phone(423) 238-2313Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode225X00000XDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer