SHINE PEDIATRIC THERAPY
NPI 1891041133
Occupational Therapist in Springfield, TN

Active since July 24, 2012
514 S BROWN ST, SUITE 600, SPRINGFIELD, TN 37172(615) 382-0500(615) 382-0501 Get Directions Write a Review

NPPES record last updated: September 2, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 2, 2019, Aug 8, 2019 (2 updates tracked since 2019).

About Shine Pediatric Therapy NPPES

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

SHINE PEDIATRIC THERAPY (NPI 1891041133), doing business as Springfield Pediatric Therapy, Llc, is a healthcare organization registered as an occupational therapist in Springfield, Tennessee and active in the NPI registry since July 2012. The organization lists Denise Thompson, Billing/credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1891041133
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameSHINE PEDIATRIC THERAPY
Location Address514 S BROWN ST, SUITE 600Springfield, TN 37172-2937
Mailing AddressPo Box 1637Springfield, TN 37172-1637 · (615) 382-0500 · Fax (615) 382-0501
Fax(615) 382-0501
Organization SubpartNo
Authorized OfficialDenise ThompsonBilling/credentialing Manager · (615) 476-9730
Enumeration DateJuly 24, 2012
Last NPPES UpdateSeptember 2, 20192 updates tracked since enumeration
✔ NPI 1891041133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in TN · 3432
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
514 S BROWN ST, Springfield, TN 37172

Other Names 1

Former Legal Business NameSpringfield Pediatric Therapy, Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shine Pediatric Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shine Pediatric Therapy, which bills Medicare for the services this clinician delivers.

Clinician (1)

Occupational Therapist in Private Practice
NPI 1194813865
514 S BROWN ST SUITE 600
Springfield, TN 37172
(615) 382-0500
Same address

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 Shine Pediatric Therapy's NPI number?

The NPI number for Shine Pediatric Therapy is 1891041133. It was assigned to this organization in the NPPES registry on July 24, 2012. The provider was formerly known as Springfield Pediatric Therapy, LLC.

Where is Shine Pediatric Therapy located?

Shine Pediatric Therapy is located at 514 S Brown St Suite 600, Springfield, TN 37172. The listed phone number is (615) 382-0500.

What is Shine Pediatric Therapy's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Shine Pediatric Therapy enrolled in Medicare?

Yes. Shine Pediatric Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shine Pediatric Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Shine Pediatric 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 Shine Pediatric Therapy accept?

Health plans from Cigna Healthcare list Shine Pediatric 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 Shine Pediatric Therapy was last updated on September 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.