Active NPI
Kacie Adair Oberlin-Carlisle
- Physical Therapist
- Charlotte, NC
National Provider Identifier
1306047766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11440
- Practice address
- 4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589 - Phone
- (980) 343-6960
- NPI assigned
- May 31, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11440 | NC | Primary |
| Physical Therapist | 225100000X | 4708 | SC |
Addresses
Primary practice location
4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Mailing address
12308 Terrick CT
Charlotte, NC 28273-9016
Phone (843) 319-9585
Other names 1
- Kacie Carlisle-Yong
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 |
|---|---|---|---|
| 4708 | SC | MD | Physical Therapist |
| 11440 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visio Perspectives Neuro Rehab Services LLC | Past | Accepting new patients | |
| Faithworks Pediatric Innervations, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Lake City, SC
- NPI 1265571558
-
- Speech-Language Pathologist
- Lake City, SC
- NPI 1659518975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1306047766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12308 TERRICK CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282739016",
"telephone_number": "843-319-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4421 STUART ANDREW BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282171589",
"telephone_number": "980-343-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERLIN-CARLISLE",
"first_name": "KACIE",
"middle_name": "ADAIR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "11440",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "4708",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KACIE",
"last_name": "CARLISLE-YONG",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.