Active NPI
Lisa Gallego Carlyle, OTR
- Occupational Therapist
- Palm Beach Gardens, FL
National Provider Identifier
1194887430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1522
- Practice address
- 2111 Spring CT
Palm Beach Gardens, FL 33410-1297 - Phone
- (561) 707-9640
- Fax
- (561) 557-4415
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1522 | FL | Primary |
Addresses
Primary practice location
2111 Spring CT
Palm Beach Gardens, FL 33410-1297
Mailing address
2111 Spring CT
Palm Beach Gardens, FL 33410-1297
Phone (561) 707-9640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 881082600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT1522 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlyle Therapy Associates, LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Occupational Therapist
- Palm Beach Gardens, FL
- NPI 1467786475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1194887430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 SPRING CT",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334101297",
"telephone_number": "561-707-9640",
"fax_number": "561-557-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 SPRING CT",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334101297",
"telephone_number": "561-707-9640",
"fax_number": "561-557-4415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLYLE",
"first_name": "LISA",
"middle_name": "GALLEGO",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT1522",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "881082600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.