STACEY STARK
NPI 1104755511
Occupational Therapist in Shoreview, MN
About Stacey Stark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY STARK (NPI 1104755511) is an individual occupational therapist in Shoreview, Minnesota and active in the NPI registry since May 2026.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHOREVIEW, MN 55126
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Stacey Stark's NPI number?
The NPI number for Stacey Stark is 1104755511. It was assigned to this individual provider in the NPPES registry on May 14, 2026.
Where is Stacey Stark located?
Stacey Stark practices at 4570 Victoria St N, Shoreview, MN 55126. The listed phone number is (651) 621-6000.
What is Stacey Stark's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
When was this NPI record last updated?
The NPPES record for Stacey Stark was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.