Provider Demographics
NPI:1629039003
Name:CARLA BIELE INC
Entity Type:Organization
Organization Name:CARLA BIELE INC
Other - Org Name:MOTION PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BIELE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:609-597-2900
Mailing Address - Street 1:85 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANAHAWKIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08050-2931
Mailing Address - Country:US
Mailing Address - Phone:609-597-2900
Mailing Address - Fax:609-597-0571
Practice Address - Street 1:85 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2931
Practice Address - Country:US
Practice Address - Phone:609-597-2900
Practice Address - Fax:609-597-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00448600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ673286RC6Medicare ID - Type Unspecified