MRS. CARLY JEAN CARLISLE MOT, OTR/L
NPI 1932634714
Occupational Therapist in Bethalto, IL
About Mrs. Carly Jean Carlisle Mot, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CARLY JEAN CARLISLE MOT, OTR/L (NPI 1932634714) is an individual occupational therapist in Bethalto, Illinois, licensed in Illinois (056011096) and active in the NPI registry since April 2017. She is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Carly Jean Carlisle Mot, Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Carly Carlisle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edwardsville, IL 62025
- Reassigned Medicare billing, Illinois enrollment
- 261 clinicians in this Medicare group
Belleville, IL 62220
- Reassigned Medicare billing, Illinois enrollment
- 308 clinicians in this Medicare group
North Riverside, IL 60546
- Reassigned Medicare billing, Illinois enrollment
- 440 clinicians in this Medicare group
Grayslake, IL 60030
- Reassigned Medicare billing, Illinois enrollment
- 123 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carly Carlisle's NPI number?
The NPI number for Carly Carlisle is 1932634714. It was assigned to this individual provider in the NPPES registry on April 28, 2017.
Where is Carly Carlisle located?
Carly Carlisle practices at 120 Gabrielle Cir, Bethalto, IL 62010. The listed phone number is (618) 593-2909.
What is Carly Carlisle's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Carly Carlisle enrolled in Medicare?
Yes. Carly Carlisle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carly Carlisle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Carlisle reassigns Medicare benefits to 4 organizations: Empowerme Rehabilitation Illinois, LLC (Edwardsville, IL), Empowerme Wellness Kansas City, LLC (Belleville, IL), Comprehensive Therapeutics Ltd (North Riverside, IL) and Legacy Healthcare Services Inc (Grayslake, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Carlisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Carly Carlisle was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.