STACEY STARK
NPI 1104755511
Occupational Therapist in Shoreview, MN

NPI Status: Active since May 14, 2026

Contact Information

4570 VICTORIA ST N
SHOREVIEW, MN
ZIP 55126
Phone: (651) 621-6000

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  • Individual
  • Female
  • Occupational Therapist

About STACEY STARK

This page provides the complete NPI Profile along with additional information for Stacey Stark, a provider established in Shoreview, Minnesota with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1104755511 assigned on May 2026. The practitioner's primary taxonomy code is 225X00000X. The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1104755511
Provider Name
STACEY STARK
Gender
Female
Entity Type
Individual
Location Address
4570 VICTORIA ST N SHOREVIEW, MN 55126
Location Phone
(651) 621-6000
Mailing Address
4570 VICTORIA ST N SHOREVIEW, MN 55126
Is Sole Proprietor?
No
Enumeration Date
05-14-2026
Last Update Date
05-14-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104755511, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 5 + 1 + 0 + 5 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104755511.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Registered Nurse
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Occupational Therapist
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Speech-Language Pathologist
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Speech-Language Pathologist
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Registered Nurse
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Occupational Therapist
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Speech-Language Pathologist
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Occupational Therapist
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Speech-Language Pathologist
4570 VICTORIA ST N
SHOREVIEW, MN 55126
Speech-Language Pathologist
4570 VICTORIA ST N
SHOREVIEW, MN 55126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104755511, enumerated as an "individual" on May 14, 2026.

The provider is located at 4570 VICTORIA ST N SHOREVIEW, MN 55126 and the phone number is (651) 621-6000.

Occupational Therapist with taxonomy code 225X00000X.