Shine Therapies for Kids

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

SHINE THERAPIES FOR KIDS

Practice address

620 N Burlington Ave
Fergus Falls, MN 56537-2318

Phone

(701) 527-1834

NPI assigned

Jun 16, 2025

Organization subpart

No

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

Authorized official

Name

Kara JohnsonNPI 1205005741

Title

Occupational Therapist

Phone

(701) 527-1834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Kara Johnson

  • Pediatric Occupational Therapist
  • Fergus Falls, MN
  • NPI 1205005741

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1477449353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N BURLINGTON AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372318",
            "telephone_number": "701-527-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N BURLINGTON AVE",
            "city": "FERGUS FALLS",
            "state": "MN",
            "postal_code": "565372318",
            "telephone_number": "701-527-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE THERAPIES FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "701-527-1834"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Servant Residential Care Incorporated
• Lucinda Jeanette Setchert, RN
• Timothy Rodney Davis Shay
• Kelsey Shea
• Crystal Ann Shepersky, LPN
• Shopko Stores Operating Co LLC
• Shoptikal LLC
• Kimberly Jo Simon, LPCC
• Kathleen M Simpson, CNS
• Lois Ann Skinner

• Pediatric Occupational Therapist in Fergus Falls, MN
• Providers in Fergus Falls, MN by specialty
• Pediatric Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.