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SHINING STAR CHILDREN'S THERAPY, INC
NPI 1265850663
Physical Therapist - Pediatrics in Pollock Pines, CA

Active since April 02, 2014
4287 SLY PARK RD, POLLOCK PINES, CA 95726(866) 306-3469(866) 615-6143 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shining Star Children's Therapy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINING STAR CHILDREN'S THERAPY, INC (NPI 1265850663) is a healthcare organization registered as a pediatrics in Pollock Pines, California and active in the NPI registry since April 2014. The organization lists Jeanne Marie Conca, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1265850663
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameSHINING STAR CHILDREN'S THERAPY, INC
Location Address4287 SLY PARK RDPollock Pines, CA 95726-9007
Mailing AddressPo Box 34120Reno, NV 89533-4120 · (775) 747-5050 · Fax (775) 747-5005
Phone(866) 306-3469
Fax(866) 615-6143
Organization SubpartNo
Authorized OfficialJeanne Marie ConcaOwner/therapist · (530) 306-3469
Enumeration DateApril 2, 2014
✔ NPI 1265850663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in CA · 20271
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
4287 SLY PARK RD, Pollock Pines, CA 95726
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Other Identifiers 1

Other20271CA · Pt License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shining Star Children's Therapy, Inc's NPI number?

The NPI number for Shining Star Children's Therapy, Inc is 1265850663. It was assigned to this organization in the NPPES registry on April 2, 2014.

Where is Shining Star Children's Therapy, Inc located?

Shining Star Children's Therapy, Inc is located at 4287 Sly Park Rd, Pollock Pines, CA 95726. The listed phone number is (866) 306-3469.

What is Shining Star Children's Therapy, Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Shining Star Children's Therapy, Inc was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.