NPIMap

Organization Active NPI

Shining Star Therapy, LLC

  • Pediatric Occupational Therapist
  • Plainfield, IL
National Provider Identifier
1689792822
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.004242 Issued in IL
Legal business name
SHINING STAR THERAPY, LLC
Practice address
13400 S Route 59
Suite# 116-326
Plainfield, IL 60585-5696
Phone
(815) 267-7334
Fax
(630) 429-9411
NPI assigned
Mar 26, 2007
Last updated
Oct 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Authorized official

Name
Mylene Cormier, OTR/LNPI 1528112935
Title
President
Phone
(815) 267-7334

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 180.005672 IL
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 070.016938 IL
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 056.004242 IL Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 146.004828 IL

Addresses

Primary practice location

13400 S Route 59
Suite# 116-326
Plainfield, IL 60585-5696

Mailing address

13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5696
Phone (815) 267-7334

Other identifiers 1

IdentifierTypeStateIssuer
9932502OtherILBCBS OF IL

National Provider Directory

National Provider Directory

Locations

13400 S Route 59
Ste 116326
Plainfield, IL 60585
Phone (815) 267-7334

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761696000000",
    "number": "1689792822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59 STE 116-326",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855696",
            "telephone_number": "815-267-7334",
            "fax_number": "630-429-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59",
            "address_2": "SUITE# 116-326",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855696",
            "telephone_number": "815-267-7334",
            "fax_number": "630-429-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A",
        "authorized_official_last_name": "CORMIER",
        "authorized_official_first_name": "MYLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-267-7334",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.005672",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070.016938",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.004242",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.004828",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "9932502",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.