Active NPI
Hannah Stark
- Occupational Therapist
- Venice, FL
National Provider Identifier
1003317413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 18970
- Practice address
- 411 Commercial CT Ste F
Venice, FL 34292 - Phone
- (941) 485-0121
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 18970 | ||
| Occupational Therapist | 225X00000X | 18970 | FL | Primary |
Addresses
Primary practice location
411 Commercial CT Ste F
Venice, FL 34292
Mailing address
2701 N Rocky Point Dr Ste 650
Tampa, FL 33607-5999
Phone (800) 434-4686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18970 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1003317413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 N ROCKY POINT DR STE 650",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075999",
"telephone_number": "800-434-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 COMMERCIAL CT STE F",
"city": "VENICE",
"state": "FL",
"postal_code": "34292",
"telephone_number": "941-485-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": "18970",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "18970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.