SHELLY STARK


Address: 16671 Trinity Loop, Broomfield, CO 80023-4670
Phone: 8582209598

SHELLY STARK (NPI# 1558606509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558606509
Entity Type Individual
Full Name SHELLY STARK
Credential OTR
Practice Address 16671 Trinity Loop
Broomfield
CO 80023-4670
Practice Telephone 8582209598
Mailing Telephone 8582209598
Enumeration Date 2012-12-03
Last Update Date 2012-12-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 1925 CO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers SHELLY STARK

NPI Name Taxonomy Address Enumeration
1083056451 Shelly Lynn Stark Nurse Practitioner 3333 Burnet Ave, Mlc 2003, Cincinnati, OH 45229-3026 2013-07-25

Office Location

Street Address 16671 TRINITY LOOP
City BROOMFIELD
State CO
Zip Code 80023-4670

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730793803 Alexis Marie Gerry Dentist 13606 Xavier Lane Suite B, Broomfield, CO 80023 2020-09-04
1023646973 Jonathan Michael Dill Student in an Organized Health Care Education/Training Program 14300 Orchard Parkway - 1st Floor, Westminster, CO 80023 2020-03-27
1821624594 Kelley Stephenson Social Worker 469 Co-7, Broomfield, CO 80023 2020-03-13
1205482031 Visionary Eye Care, Pllc Optometrist 16860 Sheridan Parkway, Unit 106, Broomfield, CO 80023 2019-08-16
1104387810 Daniel Ojala Student in an Organized Health Care Education/Training Program 14300 Orchard Pkwy, 1 St Floor, Westminster, CO 80023 2019-03-26
1184102527 Kristina Elizabeth Rainwater Occupational Therapist 3303 W 144th Ave #207, Broomfield, CO 80023 2018-07-28
1689122467 Jane Vela Physical Therapist 14866 Falcon Drive, Broomfield, CO 80023 2016-09-21
1134573850 Hanger Prosthetics & Orthotics, Inc. Durable Medical Equipment & Medical Supplies 500 W 144th Ave Ste 200, Westminster, CO 80023 2016-04-19
1235541426 Hearthside Dentistry Dentist 16578 N Washington St, Thornton, CO 80023 2014-05-22
1295168698 Christina O Mcmillon Dentistry, Pllc Dentist 16578 North Washington St, Thornton, CO 80023 2013-08-21
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy 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.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184102527 Kristina Elizabeth Rainwater Occupational Therapist 3303 W 144th Ave #207, Broomfield, CO 80023 2018-07-28
1922591478 Stephanie N Hornback Occupational Therapist 12975 Sheridan Blvd # 1477, Broomfield, CO 80020-1477 2018-06-10
1841790755 Mountain Kids Ot LLC Occupational Therapist 2874 Potosi Pl, Broomfield, CO 80023-4659 2018-02-16
1073033411 Patrice S Lensmire Gauthier Occupational Therapist 12970 Sheridan Blvd, Broomfield, CO 80020 2017-06-27
1407392335 Carol Lynn Spicer Occupational Therapist 1075 Emerald St, Broomfield, CO 80020-1849 2017-01-17
1154864429 Cassandra Openshaw Occupational Therapist 120 Edgeview Dr Apt 5208, Broomfield, CO 80021-8091 2016-11-18
1821459124 Jordan Spiering Occupational Therapist 11001 W 120th Ave Ste 310, Broomfield, CO 80021-3493 2016-03-14
1811389968 Jennifer Dawn Oropesa Occupational Therapist 13461 Sheridan Blvd, Broomfield, CO 80020-1362 2015-02-26
1609296755 Adam Kosofsky Occupational Therapist 10901 W 120th Ave Ste 380, Broomfield, CO 80021-3431 2014-04-16
1215229521 Carina Sorenson Occupational Therapist 1169 Aspen St, Broomfield, CO 80020-1435 2011-05-04
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Competitor

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City BROOMFIELD
Zip Code 80023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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