Organization Active NPI

Shine Therapies PLLC

  • Occupational Therapist
  • Boise, ID
National Provider Identifier
1104507102
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
SHINE THERAPIES PLLC
Practice address
6010 W Overland Rd
Boise, ID 83709-3013
Phone
(208) 901-5278
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Trisha CroneNPI 1942604285
Title
Otr/L
Phone
(208) 389-8387

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

6010 W Overland Rd
Boise, ID 83709-3013

Mailing address

6010 W Overland Rd
Boise, ID 83709-3013
Phone (208) 901-5278

Other names 1

  • Shine Therapies Doing business as

National Provider Directory

National Provider Directory

Locations

6010 W Overland Rd
Boise, ID 83709
Phone (208) 377-5720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1104507102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093013",
            "telephone_number": "208-901-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093013",
            "telephone_number": "208-901-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "CRONE",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "OTR/L",
        "authorized_official_telephone_number": "208-389-8387"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.