NPIMap

Organization Active NPI

Carlyle Therapy Associates, LLC

  • Occupational Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1467786475
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CARLYLE THERAPY ASSOCIATES, LLC
Practice address
2111 Spring CT
Palm Beach Gardens, FL 33410-1297
Phone
(561) 707-9640
Fax
(561) 557-4415
NPI assigned
Sep 23, 2009
Last updated
Feb 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Lisa CarlyleNPI 1194887430
Title
President
Phone
(561) 707-9640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X
Occupational Therapist 225X00000X Primary
Speech-Language Pathologist 235Z00000X

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

IdentifierTypeStateIssuer
001477200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1467786475",
    "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": {
        "organization_name": "CARLYLE THERAPY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-707-9640"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001477200",
            "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.

Verify at the official NPI Registry.