SHINING STARS THERAPY, PA (NPI# 1245534338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245534338 |
| Entity Type | Organization |
| Organization Name | SHINING STARS THERAPY, PA |
| Practice Address |
304 Judd Place Drive Fuquay Varina NC 27526-2210 |
| Practice Telephone | 9195578305 |
| Mailing Telephone | 9195578305 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2016-11-16 |
| Authorized Official Name | DAWN MARIE SOLOMON (OCCUPATIONAL THERAPIST/OWNER) |
| Authorized Official Telephone | 9195578305 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
6790 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 222Q00000X | Developmental Therapist | 6790 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7200363 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124258785 | Shining Stars Therapy, Pa | Occupational Therapist | 304 Judd Place Drive, Fuquay Varina, NC 27526-2210 | 2009-07-16 |
| Street Address |
304 JUDD PLACE DRIVE |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144410333 | Melanie Jacobs | Occupational Therapy Assistant | 304 Judd Place Drive, Fuquay Varina, NC 27526-2210 | 2007-07-25 |
| 1124258785 | Shining Stars Therapy, Pa | Occupational Therapist | 304 Judd Place Drive, Fuquay Varina, NC 27526-2210 | 2009-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568930519 | Teresa Joanne Speller | Developmental Therapist | 1121 Powder Ct, Fuquay Varina, NC 27526-5571 | 2018-11-07 |
| 1710160874 | Angela Linette Davidson | Developmental Therapist | 2008 Blainewood Ct, Fuquay Varina, NC 27526-9409 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645763 | Brittany Teach-lizzmore | Developmental Therapist | 800 Carolina Ave, Kinston, NC 28504-3551 | 2020-10-08 |
| 1770193153 | Kattiesha Plum | Developmental Therapist | 4160 Piedmont Pkwy, Greensboro, NC 27410-8174 | 2020-07-31 |
| 1255940581 | Toria Davenport | Developmental Therapist | 4160 Piedmont Pkwy Ste 207, Greensboro, NC 27410-8174 | 2020-07-22 |
| 1760014302 | Janet Monica De La Cruz | Developmental Therapist | 231 Sanders Rd, Benson, NC 27504-9185 | 2020-02-11 |
| 1881233682 | Michelle Ford | Developmental Therapist | 308 Romeo Ct, Henderson, NC 27537-4809 | 2019-12-27 |
| 1225670052 | Raquel Barden | Developmental Therapist | 711 Dude Ct, Fayetteville, NC 28303-3136 | 2019-10-14 |
| 1427617745 | Jackie Payne-mcgee | Developmental Therapist | 529 Black Maple Dr, Kannapolis, NC 28081-5880 | 2019-06-10 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1720643349 | Satonya D Smyre | Developmental Therapist | 119 N Tradd St, Statesville, NC 28677-5269 | 2019-05-08 |
| 1881155372 | Shatoya Williamson | Developmental Therapist | 3330 Harbour Pointe Pl Unit 7, Fayetteville, NC 28314-1764 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.