CARLY SHACKLE
NPI 1720613318
Speech-Language Pathologist in Dublin, OH

Active since March 04, 2020
4880 TUTTLE RD, DUBLIN, OH 43017(614) 760-8870 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2026, Mar 4, 2020 (2 updates tracked since 2020).

About Carly Shackle NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY SHACKLE (NPI 1720613318) is an individual speech-language pathologist provider in Dublin, Ohio, licensed in Ohio (SP.14341) and active in the NPI registry since March 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1720613318
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARLY SHACKLE
Location Address4880 TUTTLE RDDublin, OH 43017-7566
Mailing Address3693 Mountshannon RdColumbus, OH 43221-5238
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 4, 2020
Last NPPES UpdateMarch 6, 20262 updates tracked since enumeration
NPPES CertifiedMarch 6, 2026
NPI 1720613318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in OH · SP.14341
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

4880 TUTTLE RD, Dublin, OH 43017

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carly Shackle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234613977
PECOS Enrollment IDI20260320001699

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
4880 TUTTLE RD
DUBLIN, OH 43017
Speech-Language Pathologist
4880 TUTTLE RD
DUBLIN, OH 43017
Occupational Therapist
4880 TUTTLE RD
DUBLIN, OH 43017
Assisted Living Facility
4880 TUTTLE RD
DUBLIN, OH 43017
Speech-Language Pathologist
4880 TUTTLE RD
DUBLIN, OH 43017
Skilled Nursing Facility
4880 TUTTLE RD
DUBLIN, OH 43017
Skilled Nursing Facility
4880 TUTTLE RD
DUBLIN, OH 43017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720613318, enumerated as an "individual" on March 04, 2020.

The provider is located at 4880 TUTTLE RD DUBLIN, OH 43017 and the phone number is (614) 760-8870.

Speech-Language Pathologist with taxonomy code 235Z00000X.