Provider Demographics
NPI:1922553965
Name:BENCHMARK THERAPY, INC
Entity Type:Organization
Organization Name:BENCHMARK THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BROCK
Authorized Official - Middle Name:D
Authorized Official - Last Name:EPPLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-506-8212
Mailing Address - Street 1:PO BOX 870
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-0870
Mailing Address - Country:US
Mailing Address - Phone:814-506-8212
Mailing Address - Fax:814-506-8213
Practice Address - Street 1:2701 SOUTHAMPTON RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-1205
Practice Address - Country:US
Practice Address - Phone:814-506-8212
Practice Address - Fax:814-506-8213
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENCHMARK THERAPY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-19
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA003335448OtherINDEPENDENCE BC PT
PA003335441OtherINDEPENDENCE BC ST
PA003184014OtherINDEPENDENCE BC OT
PA003335441OtherINDEPENDENCE BC ST
PA003184014OtherINDEPENDENCE BC OT
PA003335448OtherINDEPENDENCE BC PT
PA002061554OtherHIGHMARK OT