Shine Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SHINE THERAPY, LLC

Practice address

7110 Boxford Rd
Baltimore, MD 21215-1704

Phone

(818) 605-9788

NPI assigned

Feb 10, 2023

Organization subpart

No

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

Authorized official

Name

Kimchit ShaliyehsabouNPI 1578123329

Title

SLP

Phone

(818) 605-9788

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kimchit Devorah Shaliyehsabou

  • Speech-Language Pathologist
  • Baltimore, MD
  • NPI 1578123329
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1497452304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 BOXFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151704",
            "telephone_number": "818-605-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 BOXFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151704",
            "telephone_number": "818-605-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "SHALIYEHSABOU",
        "authorized_official_first_name": "KIMCHIT",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "818-605-9788"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hyesung Shin
• NA Shin
• Ronald Shin, D.O.
• Winnifer J Shin, PHARMD
• Devyani Sambhaji Shinde, M.B.B.S.
• Dajah J Shine
• Mary Healy Shiner, R.N., M.S., C.P.N.P.
• Misty Shingler Howard
• Taylor Shinholt, OTR/L
• Shining Moments MD ABA LLC

• Speech-Language Pathologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.