Active NPI
Elizabeth Shaker, MD
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ME124451
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 73.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME124451 | FL | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Health Rehabilitation LLC | Current | 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
- 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.
-
- Physical Medicine & Rehabilitation Physician
- Edgewater, NJ
- NPI 1780080218
FL
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1528379195
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.