Individual provider Active NPI

Nicoyah L Carlisle

  • Pediatric Occupational Therapist
  • Palmetto Bay, FL
National Provider Identifier
1437662939
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
21928 Issued in FL
Practice address
8950 SW 152ND St Ste 107
Palmetto Bay, FL 33157-2066
Phone
(786) 281-3928
Fax
(833) 672-2767
NPI assigned
Nov 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X OT21928 FL
Pediatric Occupational Therapist 225XP0200X 21928 FL Primary

Addresses

Primary practice location

8950 SW 152ND St Ste 107
Palmetto Bay, FL 33157-2066

Mailing address

1000 Brickell Ave Ste 715
Miami, FL 33131-3047

Other practice location 1

11025 SW 84 St
Cottage #6&7
Miami, FL 33173
Phone (305) 759-8500

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
OT21928FLMDDevelopmental Therapist
21928FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Logos Therapy Group LLC CurrentSince Sep 14, 2025 Accepting new patients
Ready-Go-Functional Therapy LLC Pediatrics Current Accepting new patients
Beyond Therapy Team LLC Developmental Therapist Past Accepting new patients

Locations

1000 Brickell Ave
Ste 715
Miami, FL 33131
Phone (786) 791-3080

8950 SW 152nd St
Ste 107
Palmetto Bay, FL 33157
Phone (786) 234-4000

Organizations & group practices 3

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1437662939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRICKELL AVE STE 715",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331313047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 152ND ST STE 107",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331572066",
            "telephone_number": "786-281-3928",
            "fax_number": "833-672-2767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11025 SW 84 ST",
            "address_2": "COTTAGE #6&7",
            "address_purpose": "LOCATION",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33173",
            "country_code": "US",
            "telephone_number": "305-759-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "NICOYAH",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "OT21928",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "21928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.