Lily Shackleford
NPI 1801559687ActiveIndividual· Physical Therapist· San Diego, CA
Physical Therapist with Foothills Physical Therapy PA, practicing in San Diego, California. Medicare paid $13,848 for services to 30 patients in 2024.
Overview
| NPI | 1801559687 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 18, 2021 |
| Last updated in NPPES | Aug 28, 2025 |
| Certified by provider | Aug 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 300618 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 30 |
|---|---|
| Services billed | 612 across 9 procedure codes |
| Paid by Medicare | $13,848 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Foothills Physical Therapy PAEagle, ID · 28 clinicians
Other physical therapists in San Diego
- 1003100017
- 1003879057
- 1013575984
- 1013638568
- 1013675362
- 1013993211
- 1023202603
- 1023269222
- 1023436466
- 1023482122
- 1023611704
- 1033078118
All 1,528 physical therapists in San Diego · All physical therapists in California