Cny Shine Physical Occupational and Speech Therapy PLLC
NPI 1851172779 · Physical Therapist · North Syracuse, NY
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cny Shine Physical Occupational and Speech Therapy PLLC is a Physical Therapist organization in North Syracuse, NY (NPI 1851172779).
Provider details
- NPI number
- 1851172779
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amanda Miller, Partner/Owner/Dpt(315) 806-0756
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shine Pediatric Therapy
- Former legal business name
- Shine Physical Therapy PLLC
Registry dates
- Enumerated
- 2023-10-06
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Frequently asked questions
- What is Cny Shine Physical Occupational and Speech Therapy PLLC's NPI number?
- Cny Shine Physical Occupational and Speech Therapy PLLC's National Provider Identifier (NPI) is 1851172779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cny Shine Physical Occupational and Speech Therapy PLLC?
- Cny Shine Physical Occupational and Speech Therapy PLLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Cny Shine Physical Occupational and Speech Therapy PLLC located?
- Cny Shine Physical Occupational and Speech Therapy PLLC's practice location on file with NPPES is 3400 Vickery Rd Ste E, North Syracuse, NY 13212-4526.
- What is Cny Shine Physical Occupational and Speech Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Cny Shine Physical Occupational and Speech Therapy PLLC is (315) 806-0756.
- Does Cny Shine Physical Occupational and Speech Therapy PLLC accept Medicare?
- Cny Shine Physical Occupational and Speech Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cny Shine Physical Occupational and Speech Therapy PLLC?
- The authorized official listed on Cny Shine Physical Occupational and Speech Therapy PLLC's NPPES record is Amanda Miller, Partner/Owner/Dpt. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cny Shine Physical Occupational and Speech Therapy PLLC's NPI active?
- Yes — Cny Shine Physical Occupational and Speech Therapy PLLC's NPI (1851172779) is active in the NPPES registry as of the last update on 2025-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.