SHOOTING STAR FEEDING AND SWALLOWING THERAPY
NPI 1831855071
Occupational Therapist - Pediatrics in Plymouth, MI

Active since November 11, 2021
213 N SHELDON RD, PLYMOUTH, MI 48170(313) 478-1698 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shooting Star Feeding And Swallowing Therapy NPPES

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

SHOOTING STAR FEEDING AND SWALLOWING THERAPY (NPI 1831855071) is a healthcare organization registered as a pediatrics in Plymouth, Michigan and active in the NPI registry since November 2021. The organization lists Stacy L Panetta, Owner, as its authorized official.

NPPES Registry Identity

NPI1831855071
Entity TypeOrganization
Primary Taxonomy225XP0200X
Legal Business NameSHOOTING STAR FEEDING AND SWALLOWING THERAPY
Location Address213 N SHELDON RDPlymouth, MI 48170-1524
Mailing Address6647 Brookside LnPlymouth, MI 48170-5809 · (313) 478-1698
Organization SubpartNo
Authorized OfficialStacy L PanettaOwner · (313) 478-1698
Enumeration DateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
✔ NPI 1831855071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
213 N SHELDON RD, Plymouth, MI 48170

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shooting Star Feeding And Swallowing Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20220301000374Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shooting Star Feeding And Swallowing Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Occupational Therapist in Private Practice
NPI 1891915765
1500 E MEDICAL CENTER DR
Ann Arbor, MI 48109
(734) 763-2554
14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Shooting Star Feeding And Swallowing Therapy's NPI number?

The NPI number for Shooting Star Feeding And Swallowing Therapy is 1831855071. It was assigned to this organization in the NPPES registry on November 11, 2021.

Where is Shooting Star Feeding And Swallowing Therapy located?

Shooting Star Feeding And Swallowing Therapy is located at 213 N Sheldon Rd, Plymouth, MI 48170. The listed phone number is (313) 478-1698.

What is Shooting Star Feeding And Swallowing Therapy's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

Is Shooting Star Feeding And Swallowing Therapy enrolled in Medicare?

Yes. Shooting Star Feeding And Swallowing Therapy is registered in the Medicare PECOS enrollment system.

When is Shooting Star Feeding And Swallowing Therapy's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Shooting Star Feeding And Swallowing Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Shooting Star Feeding And Swallowing Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shooting Star Feeding And Swallowing Therapy accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shooting Star Feeding And Swallowing Therapy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shooting Star Feeding And Swallowing Therapy was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.