Individual provider Active NPI

Kacie Adair Oberlin-Carlisle

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1306047766
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11440 Issued in NC
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

Updated by the provider on Jul 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
4708SCMDPhysical Therapist
11440NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.