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 is a Pediatric Physical Therapist 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
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