Shine Pediatric Therapy, Llc

LBN: Shine Pediatric Therapy, Llc
Shine Pediatric Therapy, Llc is an health care organization with primary practice located at 8702 Founders Rd , Indianapolis IN 46268-1337. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Shine Pediatric Therapy, Llc can be contacted via phone (317) 452-9430, or through Hodge, Courtney via phone (317) 452-9430.

Contact Information

Primary practice address
8702 Founders Rd Indianapolis IN 46268-1337
Phone: (317) 452-9430
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hodge, Courtney MS, CCC-SLP
Phone: (317) 452-9430

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1659017507
LBN Legal business name Shine Pediatric Therapy, Llc
DBA Doing business as
Authorized official Hodge, Courtney MS, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2022
Last updated Nov 1st, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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