Individual provider Active NPI

Elizabeth Shaker, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Lakeland, FL
National Provider Identifier
1356633465
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
ME124451 Issued in FL
Practice address
855 Carpenters Way
Lakeland, FL 33809-4157
Phone
(872) 231-3162
NPI assigned
May 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X ME124451 FL Primary

Addresses

Primary practice location

855 Carpenters Way
Lakeland, FL 33809-4157

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other practice location 1

290 Main St NW
Elk River, MN 55330-1270
Phone (763) 241-0373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220512002894 FL Practitioner - Physical Medicine and Rehabilitation 0345481834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Albany Medical College of Union University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Health Rehabilitation LLCGroup PAC ID 4284952615, 153 clinicians

Practice addresses (Care Compare)

2811 Campus Hill Dr
Tampa, FL 33612-9213
Phone (201) 654-6397

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME124451FLMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC CurrentSince Jan 1, 2023 Accepting new patients
Integrated Rehab Consultants LLC Past Accepting new patients

Locations

37300 Royal Oak Ln
Dade City, FL 33525
Phone (352) 567-3122

703 S 29th St
Fort Pierce, FL 34947
Phone (201) 654-3130

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185

1201 Oakbridge Pkwy
Lakeland, FL 33803
Phone (863) 279-1600

855 Carpenters Way
Lakeland, FL 33809
Phone (863) 213-3335

12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210

2202 W Oak Ave
Plant City, FL 33563
Phone (386) 562-4899

9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520

1514 E Chelsea St
Tampa, FL 33610
Phone (813) 238-6406

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

1730 Mayo Dr
Tavares, FL 32778
Phone (352) 525-3001

1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107

38220 Henry Dr
Zephyrhills, FL 33542
Phone (813) 788-6903

Interoperability endpoints

  • Direct secure messaging: elizabeth.shaker@238098461884420.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1356633465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CARPENTERS WAY",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094157",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Main St NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301270",
            "country_code": "US",
            "telephone_number": "763-241-0373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAKER",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-07",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME124451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.