STACEY STARK
NPI 1104755511
Occupational Therapist in Shoreview, MN

Active since May 14, 2026
4570 VICTORIA ST N, SHOREVIEW, MN 55126(651) 621-6000 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1104755511
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameSTACEY STARK
Location Address4570 VICTORIA ST NShoreview, MN 55126-5800
Mailing Address4570 Victoria St NShoreview, MN 55126-5800
Sole ProprietorNo
Enumeration DateMay 14, 2026
NPPES CertifiedMay 14, 2026
NPI 1104755511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
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.
4570 VICTORIA ST N, Shoreview, MN 55126

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.

Speech-Language Pathologist
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
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

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.