Cny Shine Physical Occupational And Speech Therapy Pllc in North Syracuse, NY

Cny Shine Physical Occupational And Speech Therapy Pllc is a medicare enrolled "Physical Therapist" provider in North Syracuse, New York. Their current practice location is 3400 Vickery Rd Ste E, North Syracuse, New York. You can reach out to their office (for appointments etc.) via phone at (315) 806-0756.

Cny Shine Physical Occupational And Speech Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Cny Shine Physical Occupational And Speech Therapy Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1851172779.

Contact Information

	Cny Shine Physical Occupational And Speech Therapy Pllc
	3400 Vickery Rd Ste E, North Syracuse, NY 13212-4526
	(315) 806-0756
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Cny Shine Physical Occupational And Speech Therapy Pllc
Type	Facility
Speciality	Physical Therapist
Location	3400 Vickery Rd Ste E, North Syracuse, New York
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851172779
Provider Enumeration Date: 10/06/2023
Last Update Date: 09/29/2025

Medicare PECOS Information:

PECOS PAC ID: 2163871021
Enrollment ID: O20231218002612

Medical Identifiers

Medical identifiers for Cny Shine Physical Occupational And Speech Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851172779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	Secondary
225X00000X	Occupational Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Cny Shine Physical Occupational And Speech Therapy Pllc acts as a billing entity for following providers:

Provider Name	Amanda Miller
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1932765641 PECOS PAC ID: 9335598291 Enrollment ID: I20231218002735

Provider Name	Katelyn Labrie
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1396524914 PECOS PAC ID: 1153770011 Enrollment ID: I20240103001238

Provider Name	Madison Bell
Provider Type	Practitioner - Occupational Therapist In Private Practice
Provider Identifiers	NPI Number: 1699491589 PECOS PAC ID: 7618401795 Enrollment ID: I20241112002601

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. Cny Shine Physical Occupational And Speech Therapy Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Cny Shine Physical Occupational And Speech Therapy Pllc 3400 Vickery Rd Ste E, North Syracuse, NY 13212-4534 Ph: (315) 214-4482	Cny Shine Physical Occupational And Speech Therapy Pllc 3400 Vickery Rd Ste E, North Syracuse, NY 13212-4526 Ph: (315) 806-0756

Reviews and Comments

Physical Therapist in North Syracuse, NY

Dr. Liane Brown, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 792 N Main St, Ste 100c, North Syracuse, NY 13212 Phone: 315-458-2552 Fax: 315-458-2575
Alicia Marie Everett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St, Ste 100c, North Syracuse, NY 13212 Phone: 315-458-2552 Fax: 315-458-2575
Meghan M Ryan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 N Main St, North Syracuse, NY 13212 Phone: 315-452-5580 Fax: 315-452-5303
Mrs. Jean T Adkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 205 S Main St, North Syracuse, NY 13212 Phone: 315-218-2200
Primary Physical Therapy Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St, Ste 100c, North Syracuse, NY 13212 Phone: 315-458-2552 Fax: 315-458-2575
Jacob Templar, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5496 E Taft Rd, North Syracuse, NY 13212 Phone: 315-418-4042
Andrea Whalen Westman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 792 N Main St, Ste 100c, North Syracuse, NY 13212 Phone: 315-458-2552 Fax: 315-458-2575

Cny Shine Physical Occupational And Speech Therapy Pllc - Medicare Physical Therapist in North Syracuse, NY