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

Shooting Star Pediatric Physical Therapy LLC

Organization Physical Therapist · NPI 1952091464

Shooting Star Pediatric Physical Therapy LLC provides Physical Therapist services in Bloomington, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8120 Penn Ave S Ste 500C
Bloomington, MN 55431-1367
Phone: (952) 373-1180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1952091464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsay O'Mahoney — Owner · (952) 373-1180
NPI enumeratedMay 9, 2023
Last updated in NPPESMay 9, 2023
Certification dateMay 9, 2023
Mailing address8120 Penn Ave S Ste 500c, Bloomington, MN 55431-1367

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