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 is a Physical Therapist 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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