Rachel Lee Stark, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

5453-27 Issued in WI

Practice address

8112 W Bluemound Rd
Wauwatosa, WI 53213-3356

Phone

(414) 727-5552

NPI assigned

Feb 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831557750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S 114TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532271031",
            "telephone_number": "414-449-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 W BLUEMOUND RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133356",
            "telephone_number": "414-727-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 S 114th St",
            "address_purpose": "LOCATION",
            "city": "West Allis",
            "state": "WI",
            "postal_code": "532271031",
            "country_code": "US",
            "telephone_number": "414-449-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "RACHEL",
        "middle_name": "LEE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "5453-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Staidl
• Dannie Stallworth, LPC-IT
• Susan K Stank, PT
• Rebecca Stapleton
• Kevin Staral
• Danielle Marie Starkey
• Julie Katherine Staskunas, FNP
• Mary Ellen Staszkiewicz, OTR
• William Nicholas Stathas, DDS
• Beth E. Stay, APNP

• Occupational Therapy Assistant in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.

Verify at the official NPI Registry.