Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shining Star Children's Therapy, Inc

Organization Pediatric Physical Therapist · NPI 1265850663

Shining Star Children's Therapy, Inc provides Pediatric Physical Therapist services in Pollock Pines, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4287 Sly Park Rd
Pollock Pines, CA 95726-9007 Not confirmed with CMS for 12 years — call before visiting
Phone: (866) 306-3469
Fax: (866) 615-6143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 20271 (CA)

Record details

NPI number1265850663
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanne Conca — Owner/Therapist · (530) 306-3469
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 2, 2014
Mailing addressPo Box 34120, Reno, NV 89533-4120