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

The Shine Pediatric Therapy Center

Organization Occupational Therapist · NPI 1023704236

The Shine Pediatric Therapy Center is an Occupational Therapist in Chickasha, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

921 W Missouri Ave
Chickasha, OK 73018-4328
Phone: (405) 612-8396
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1023704236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Wonderly — Owner · (405) 708-7172
Other names Shine Pediatric Therapy Center
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address921 W Missouri Ave, Chickasha, OK 73018-4328

Other providers in Chickasha