Stacey Stark
NPI 1104755511 · Occupational Therapist · Shoreview, MN
Stacey Stark is a Occupational Therapist provider in Shoreview, MN (NPI 1104755511).
Provider details
- NPI number
- 1104755511
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-05-14
- Last updated
- 2026-05-14
- Certified
- 2026-05-14
Frequently asked questions
- What is Stacey Stark's NPI number?
- Stacey Stark's National Provider Identifier (NPI) is 1104755511, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Stark's specialty?
- Stacey Stark is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Stacey Stark located?
- Stacey Stark's practice location on file with NPPES is 4570 Victoria St N, Shoreview, MN 55126-5800.
- What is Stacey Stark's phone number?
- The practice phone number listed in the NPPES registry for Stacey Stark is (651) 621-6000.
- Is Stacey Stark's NPI active?
- Yes — Stacey Stark's NPI (1104755511) is active in the NPPES registry as of the last update on 2026-05-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.