Shine & Grow Pediatric Therapy PLLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

SHINE & GROW PEDIATRIC THERAPY PLLC

Practice address

9624 Willow Leaf LN
Cornelius, NC 28031-9367

Phone

(704) 517-7156

NPI assigned

Aug 27, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Bielec, OTR/L

Title

Owner

Phone

(704) 517-7156

Specialties & licenses 1

Addresses

Other names 1

• Shine & Grow Pediatric Therapy Other name

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1912731530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9624 WILLOW LEAF LN",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319367",
            "telephone_number": "704-517-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9624 WILLOW LEAF LN",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280319367",
            "telephone_number": "704-517-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE & GROW PEDIATRIC THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "BIELEC",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-517-7156",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine & Grow Pediatric Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jacqueline Shelter
• Kenadie Sherman
• Scott Alan Sherman, RPH
• Pamela Passarelli Sherrill, RD
• Kimiko Shimoda, DIPL. OM, LAC
• William Bradley Shook, D.C.
• Kirkwood Tanner Shultz, MD
• Inga R Siler, MS, CCC-SLP
• Thea Oculato Silva de Souza, PH.D.
• Andrew Link Simpson, LPCA, NCC

• Pediatric Occupational Therapist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Pediatric Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.