NPI
Carly Jean Carlisle
NPI 1932634714
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MOT, OTR/L
- Type
- Individual
- Enumeration date
- 2017-04-28
- Last updated
- 2017-04-28
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Specialties
Licenses
- License IL
- 056011096
- License MO
- 2015024426
Location
- Practice location
- 120 Gabrielle Cir
- City
- Bethalto IL
- Postal code
- 62010-2594
- Phone
- (618) 593-2909
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Bethalto, IL. 98 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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