LILY SHACKLEFORD
NPI 1801559687
Physical Therapist in San Diego, CA
About Lily Shackleford NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LILY SHACKLEFORD (NPI 1801559687) is an individual physical therapist in San Diego, California, licensed in California (300618) and active in the NPI registry since October 2021. She is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lily Shackleford 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lily Shackleford's NPI number?
The NPI number for Lily Shackleford is 1801559687. It was assigned to this individual provider in the NPPES registry on October 18, 2021.
Where is Lily Shackleford located?
Lily Shackleford practices at 10405 San Diego Mission Rd # 102104, San Diego, CA 92108. The listed phone number is (619) 369-9442.
What is Lily Shackleford's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Lily Shackleford enrolled in Medicare?
Yes. Lily Shackleford 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.
What insurance does Lily Shackleford accept?
Health plans from Providence Health Plan list Lily Shackleford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lily Shackleford was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.