Shine Pediatric Therapy
NPI 1891041133 · Occupational Therapist · Springfield, TN
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shine Pediatric Therapy is a Occupational Therapist organization in Springfield, TN (NPI 1891041133).
Provider details
- NPI number
- 1891041133
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Denise Thompson, Billing/Credentialing Manager(615) 476-9730
- License
- 3432 (TN)
Specialties & taxonomies
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
13 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)
- Former legal business name
- Springfield Pediatric Therapy, LLC
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2019-09-02
Frequently asked questions
- What is Shine Pediatric Therapy's NPI number?
- Shine Pediatric Therapy's National Provider Identifier (NPI) is 1891041133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shine Pediatric Therapy?
- Shine Pediatric Therapy is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Shine Pediatric Therapy located?
- Shine Pediatric Therapy's practice location on file with NPPES is 514 S Brown St, Springfield, TN 37172-2937.
- What is Shine Pediatric Therapy's phone number?
- The practice phone number listed in the NPPES registry for Shine Pediatric Therapy is (615) 382-0500.
- Does Shine Pediatric Therapy accept Medicare?
- Shine Pediatric Therapy 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 Shine Pediatric Therapy?
- The authorized official listed on Shine Pediatric Therapy's NPPES record is Denise Thompson, Billing/Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shine Pediatric Therapy's NPI active?
- Yes — Shine Pediatric Therapy's NPI (1891041133) is active in the NPPES registry as of the last update on 2019-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.