Provider Demographics
NPI:1588675516
Name:BELLA CARE PHYSICAL THERAPY AND REHABILATION INC.
Entity Type:Organization
Organization Name:BELLA CARE PHYSICAL THERAPY AND REHABILATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/COLLECTIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:OFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:SECRETARY
Authorized Official - Phone:814-239-9200
Mailing Address - Street 1:12848 DUNNINGS HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CLAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16625-8285
Mailing Address - Country:US
Mailing Address - Phone:814-239-9200
Mailing Address - Fax:814-239-9939
Practice Address - Street 1:12848 DUNNINGS HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:CLAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16625-8285
Practice Address - Country:US
Practice Address - Phone:814-239-9200
Practice Address - Fax:814-239-9939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015899225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019507680028Medicaid
PADE3613OtherRAILROAD MEDICARE PTAN
PADE3613OtherRAILROAD MEDICARE PTAN
PA0019507680028Medicaid