MEDICARE: CARLY BIEMANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1154263804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY BIEMANN

Provider Business Mailing Address
First Line	:	2765 S BAY ST
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-6501
Country	:	US
Telephone Number	:	352-589-5595
Fax Number	:	352-589-5747

Provider Business Practice Location Address
First Line	:	2765 S BAY ST
Second Line	:
City	:	EUSTIS
State	:	FL
Zip	:	32726-6501
Country	:	US
Telephone Number	:	352-589-5595
Fax Number	:	352-589-5747

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ CARLY BIEMANN ” Practice Location

Language	Start Address	Practice Location

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