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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: October 18, 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
Phone(614) 760-8870
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
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Carly Shackle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthpro Heritage Rehab & Fitness, LLC
124 mi
Physical Therapist
19455 ROCKSIDE RD
Bedford, OH 44146
  • Reassigned Medicare billing, Ohio enrollment
  • 86 clinicians in this Medicare group
NPI 1689194755 (440) 703-6049

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

NICOLE M DELEY
Speech-Language Pathologist
4880 TUTTLE RD
DUBLIN, OH 43017
Franklin County (614) 760-8870
TC HEALTHCARE LLC
Skilled Nursing Facility
4880 TUTTLE RD
DUBLIN, OH 43017
Franklin County (614) 760-8870
AHF OHIO, INC.
Skilled Nursing Facility
4880 TUTTLE RD
DUBLIN, OH 43017
Franklin County (614) 760-8870
SANCTUARY AT TUTTLE CROSSING INC
Skilled Nursing Facility
4880 TUTTLE RD
DUBLIN, OH 43017
Franklin County (614) 336-4182
AHF OHIO, INC.
Assisted Living Facility
4880 TUTTLE RD
DUBLIN, OH 43017
Franklin County (614) 760-8870
KAITLIN FRANCES MILLER OTR
Occupational Therapist
4880 TUTTLE RD
DUBLIN, OH 43017
Franklin County (614) 760-8870
KELSEY DIERINGER
Speech-Language Pathologist
4880 TUTTLE RD
DUBLIN, OH 43017
Franklin County (614) 406-2603

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 Shackle's NPI number?

The NPI number for Carly Shackle is 1720613318. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Where is Carly Shackle located?

Carly Shackle practices at 4880 Tuttle Rd, Dublin, OH 43017. The listed phone number is (614) 760-8870.

What is Carly Shackle's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Carly Shackle enrolled in Medicare?

Yes. Carly Shackle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Shackle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Shackle reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Bedford, OH). The 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 Shackle'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 Shackle was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.