IndividualActive
Jennifer Carlisle, PTA
NPI 1376786335 · Physical Therapy Assistant · Amelia Island, FL
Provider details
- NPI number
- 1376786335
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- PTA20378 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
76 Osprey Village Dr
Amelia Island, FL 32034-4962
Phone: (904) 491-1701
Fax: (904) 491-1702
Street-level locationGet directions
Mailing address
76 Osprey Village Dr
Amelia Island, FL 32034
Registry dates
- Enumerated
- 2009-04-07
- Last updated
- 2009-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.