Nancy Stark, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5538 Issued in AZ

Practice address

1745 S Alma School Rd
Ste.145
Mesa, AZ 85210-3009

Phone

(480) 963-3634

NPI assigned

Dec 5, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nancy Stark Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baio Enterprises

  • Speech-Language Pathologist
  • Mesa, AZ
  • NPI 1477801686
  NPD (past)
• Baio Enterprises Inc

  • Developmental Disabilities Clinic/Center
  • Mesa, AZ
  • NPI 1457421604
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386201600000",
    "number": "1154752848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5614 N 76TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506524",
            "telephone_number": "707-322-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S ALMA SCHOOL RD",
            "address_2": "STE.145",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103009",
            "telephone_number": "480-963-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "NANCY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-05",
        "last_updated": "2013-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "5538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "STARK",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patricia Anne Stapler, MD
• Dana Michelle Stapleton, RDN
• Stapley Dental Group, Professional Corporation
• Kent Wayne Stapley, D.M.D.
• Connor Stark, MS, MAS, LAMFT
• Shannon Lynn Stark, NP
• Tasha Annette Stark, PA-C
• Sara Starks
• Starlight Behavior, LLC
• Danielle Starlin, BHT

• Occupational Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.