Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cny Shine Physical Occupational and Speech Therapy PLLC

Organization Physical Therapist · NPI 1851172779

Cny Shine Physical Occupational and Speech Therapy PLLC provides Physical Therapist services in North Syracuse, New York. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3400 Vickery Rd Ste E
North Syracuse, NY 13212-4526
Phone: (315) 806-0756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1851172779
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Miller — Partner/Owner/Dpt · (315) 806-0756
Other names Shine Pediatric Therapy; Shine Physical Therapy Pllc
NPI enumeratedOctober 6, 2023
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address3400 Vickery Rd Ste E, North Syracuse, NY 13212-4534

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