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NPI Profile for SHINNING STARS THERAPY PLLC in CHANTILLY, VA.
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
2251P0200X | 65 | Physical Therapist in Private Practice | |
Assistant Behavior Analyst |
106E00000X | |||
Behavior Analyst |
103K00000X | |||
Behavior Technician |
106S00000X | |||
Feeding, Eating & Swallowing |
224ZF0002X | |||
Feeding, Eating & Swallowing |
225XF0002X | 67 | Occupational Therapist in Private Practice | |
Nutrition, Pediatric |
133VN1004X | 71 | Registered Dietitian or Nutrition Professional | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Occupational Therapy Assistant |
224Z00000X | |||
Pediatrics |
225XP0200X | 67 | Occupational Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Physical Therapy Assistant |
225200000X | |||
Speech-Language Assistant |
2355S0801X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI Number | 1548989510 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/24/2022 | |
| Last updated | 08/24/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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SHINNING STARS THERAPY PLLC
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SHINNING STARS THERAPY PLLC