Shine Pediatric Therapy, Llc is a
Behavior Analyst based in Indianapolis, Indiana. Shine Pediatric Therapy, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
8702 Founders Rd, Indianapolis, Indiana. It can be reached at their office (for appointments etc.) via phone at
(317) 452-9430.
NPI number for Shine Pediatric Therapy, Llc is 1659017507 and their current mailing address is 8702 Founders Rd, Indianapolis, Indiana. Shine Pediatric Therapy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659017507.
Healthcare Provider's Profile
| Full Name | Shine Pediatric Therapy, Llc |
|---|
| Type | Facility |
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| Speciality | Behavior Analyst |
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| Location | 8702 Founders Rd, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659017507
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 08/12/2024
Medical Identifiers
Medical identifiers for Shine Pediatric Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659017507 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shine Pediatric Therapy, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shine Pediatric Therapy, Llc
8702 Founders Rd,
Indianapolis, IN 46268-1337
Ph: () - | Shine Pediatric Therapy, Llc
8702 Founders Rd,
Indianapolis, IN 46268-1337
Ph: (317) 452-9430 |
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