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SHINE-PEDIATRIC THERAPY CENTER
NPI 1932843109
Clinic/Center in Niceville, FL

Active since April 25, 2022
4565 COMMERCIAL DR STE 105, NICEVILLE, FL 32578(850) 353-2415(850) 353-2528 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2026, Oct 8, 2025, Sep 20, 2024 and 1 more (4 updates tracked since 2022).

About Shine-pediatric Therapy Center NPPES

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

SHINE-PEDIATRIC THERAPY CENTER (NPI 1932843109) is a healthcare organization registered as a clinic/center in Niceville, Florida and active in the NPI registry since April 2022. The organization lists Mary A Bryce-travis, Owner, as its authorized official.

NPPES Registry Identity

NPI1932843109
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHINE-PEDIATRIC THERAPY CENTER
Location Address4565 COMMERCIAL DR STE 105Niceville, FL 32578-8856
Mailing Address4565 Commercial Dr Ste 105Niceville, FL 32578-8856 · (850) 353-2415 · Fax (850) 353-2528
Phone(850) 353-2415
Fax(850) 353-2528
Organization SubpartNo
Authorized OfficialMary A Bryce-travisOwner · (850) 353-2415
Enumeration DateApril 25, 2022
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1932843109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
4565 COMMERCIAL DR STE 105, Niceville, FL 32578
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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

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARLYN SEESE
Speech-Language Pathologist
4565 COMMERCIAL DR STE 105
NICEVILLE, FL 32578
Okaloosa County (850) 353-2415
KAITLYN CARTER PT, DPT, NTMTC
Physical Therapist
4565 COMMERCIAL DR STE 105
NICEVILLE, FL 32578
Okaloosa County (850) 353-2415
DR. MADELINE LUKE
Occupational Therapist (Pediatrics)
4565 COMMERCIAL DR STE 105
NICEVILLE, FL 32578
Okaloosa County (850) 353-2415
JANELL DAVIS
Occupational Therapist (Pediatrics)
4565 COMMERCIAL DR STE 105
NICEVILLE, FL 32578
Okaloosa County (850) 353-2415
OLIVIA SAUNDERS
Physical Therapist
4565 COMMERCIAL DR STE 105
NICEVILLE, FL 32578
Okaloosa County (850) 353-2415
DYLAN NICOLE WELCH M.S. CCC-SLP
Speech-Language Pathologist
4565 COMMERCIAL DR STE 105
NICEVILLE, FL 32578
Okaloosa County (850) 353-2415
RACHEL SPERRY OTD, OTR/L
Occupational Therapist (Pediatrics)
4565 COMMERCIAL DR STE 105
NICEVILLE, FL 32578
Okaloosa County (850) 353-2415
PAYTON BUTLER OTD, OTR/L
Occupational Therapist (Pediatrics)
4565 COMMERCIAL DR STE 105
NICEVILLE, FL 32578
Okaloosa County (850) 353-2415

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 Center's NPI number?

The NPI number for Shine-Pediatric Therapy Center is 1932843109. It was assigned to this organization in the NPPES registry on April 25, 2022.

Where is Shine-Pediatric Therapy Center located?

Shine-Pediatric Therapy Center is located at 4565 Commercial Dr Ste 105, Niceville, FL 32578. The listed phone number is (850) 353-2415.

What is Shine-Pediatric Therapy Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Shine-Pediatric Therapy Center was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.