Shining Star Children's Therapy, Inc is a
Physical Therapist - Pediatrics based in Pollock Pines, California. Shining Star Children's Therapy, Inc is licensed to practice in California (license number 20271) and their current practice location is
4287 Sly Park Rd, Pollock Pines, California. It can be reached at their office (for appointments etc.) via phone at
(866) 306-3469.
NPI number for Shining Star Children's Therapy, Inc is 1265850663 and their current mailing address is Po Box 34120, Reno, Nevada. Shining Star Children's Therapy, Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1265850663.
Healthcare Provider's Profile
Full Name | Shining Star Children's Therapy, Inc |
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Type | Facility |
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Speciality | Physical Therapist - Pediatrics |
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Location | 4287 Sly Park Rd, Pollock Pines, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265850663
- Provider Enumeration Date: 04/02/2014
- Last Update Date: 04/02/2014
Medical Identifiers
Medical identifiers for Shining Star Children's Therapy, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265850663 | NPI | - | NPPES |
20271 | Other | CA | PT LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2251P0200X | Physical Therapist - Pediatrics | 20271 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shining Star Children's Therapy, Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shining Star Children's Therapy, Inc Po Box 34120, Reno, NV 89533-4120 Ph: (775) 747-5050 | Shining Star Children's Therapy, Inc 4287 Sly Park Rd, Pollock Pines, CA 95726-9007 Ph: (866) 306-3469 |
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