Shine Pediatric Therapy
NPI 1891041133ActiveOrganization· Occupational Therapist· Springfield, TN
Occupational Therapist in Springfield, Tennessee, registered in NPPES in July 2012. The authorized official on file is Denise Thompson, Billing/Credentialing Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1891041133 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2012 |
| Last updated in NPPES | Sep 2, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 3432 | TN |
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 Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TN) |
|---|
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