Carly Bleem Carril, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2025007301 Issued in MO

Practice address

1475 Kisker Rd Ste 150
Saint Charles, MO 63304-8789

Phone

(636) 498-7474

NPI assigned

Apr 7, 2025

Last updated

Apr 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1548054554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 PALESTRA DR APT 21",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631462643",
            "telephone_number": "618-977-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 KISKER RD STE 150",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633048789",
            "telephone_number": "636-498-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIL",
        "first_name": "CARLY",
        "middle_name": "BLEEM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2025007301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Holly Eden Carson, MA, LPC, LCSW
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• Breanna Carter, OTD, OTR/L
• Casa D'Luxe Properties LLC (House of Health)

• Physical Therapist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.