Individual provider Active NPI

Shaila Lillielouise Isham

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1699441899
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28931 Issued in MD
Practice address
11110 Medical Campus Rd Ste 201
Hagerstown, MD 21742-6797
Phone
(301) 714-4025
Fax
(301) 714-4026
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 28931 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 201
Hagerstown, MD 21742-6797

Mailing address

11110 Medical Campus Rd Ste 201
Hagerstown, MD 21742-6797
Phone (301) 714-4025

Other practice location 1

4532 W Gate Blvd Ste 100
Austin, TX 78745-1463
Phone (512) 892-7337

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210824001002 TX Practitioner - Physical Therapist in Private Practice 4688079098 Reassigns benefits to 1 organization
I20241218003164 MD Practitioner - Physical Therapist in Private Practice 4688079098 Reassigns benefits to 1 organization
I20241218003331 DC Practitioner - Physical Therapist in Private Practice 4688079098 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28931MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab PT MD LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Aug 17, 2021 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Aug 17, 2021 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Sep 23, 2022 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Sep 23, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

11665 Doolittle Dr
Waldorf, MD 20602
Phone (301) 638-4100

7 Carnegie Plz
Cherry Hill, NJ 08003

432 Gateway Ave
Chambersburg, PA 17201
Phone (717) 446-0055

125 S Antrim Way
#103
Greencastle, PA 17225
Phone (223) 465-2006

125 S Antrim Way
Ste 103
Greencastle, PA 17225

106 S Conestoga Dr
Shippensburg, PA 17257
Phone (717) 477-2066

648 E Main St
Waynesboro, PA 17268
Phone (717) 387-8052

4532 West Gate Blvd
Ste 100
Austin, TX 78745
Phone (512) 892-7337

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

Organizations & group practices 7

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1699441899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426797",
            "telephone_number": "301-714-4025",
            "fax_number": "301-714-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426797",
            "telephone_number": "301-714-4025",
            "fax_number": "301-714-4026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4532 W Gate Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787451463",
            "country_code": "US",
            "telephone_number": "512-892-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISHAM",
        "first_name": "SHAILA",
        "middle_name": "LILLIELOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9885 Greenbelt Rd",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207062302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.