CNY SHINE PHYSICAL OCCUPATIONAL AND SPEECH THERAPY PLLC
NPI 1851172779
Physical Therapist in North Syracuse, NY
About Cny Shine Physical Occupational And Speech Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CNY SHINE PHYSICAL OCCUPATIONAL AND SPEECH THERAPY PLLC (NPI 1851172779), doing business as Shine Pediatric Therapy, is a healthcare organization registered as a physical therapist in North Syracuse, New York and active in the NPI registry since October 2023. The organization lists Amanda Miller, Partner/owner/dpt, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cny Shine Physical Occupational And Speech Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cny Shine Physical Occupational And Speech Therapy PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 Cny Shine Physical Occupational And Speech Therapy PLLC's NPI number?
The NPI number for Cny Shine Physical Occupational And Speech Therapy PLLC is 1851172779. It was assigned to this organization in the NPPES registry on October 6, 2023. The provider is doing business as Shine Pediatric Therapy. The provider was formerly known as Shine Physical Therapy PLLC.
Where is Cny Shine Physical Occupational And Speech Therapy PLLC located?
Cny Shine Physical Occupational And Speech Therapy PLLC is located at 3400 Vickery Rd Ste E, North Syracuse, NY 13212. The listed phone number is (315) 806-0756.
What is Cny Shine Physical Occupational And Speech Therapy PLLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Cny Shine Physical Occupational And Speech Therapy PLLC enrolled in Medicare?
Yes. Cny Shine Physical Occupational And Speech Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cny Shine Physical Occupational And Speech Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cny Shine Physical Occupational And Speech Therapy PLLC, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cny Shine Physical Occupational And Speech Therapy PLLC was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.