Organization
CNY SHINE PHYSICAL OCCUPATIONAL AND SPEECH THERAPY PLLC
Active
Other names
Shine Physical Therapy PLLC, Shine Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MILLER DPT (PARTNER/OWNER/DPT)
(315) 806-0756
Entity
Organization
Contact information
Practice address
3400 VICKERY RD STE E, NORTH SYRACUSE, NY 13212-4526
(315) 806-0756
Mailing address
3400 VICKERY RD STE E, NORTH SYRACUSE, NY 13212-4534
(315) 214-4482
(315) 299-4096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/06/2023
Last updated
09/29/2025
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