KATIE STARK


Address: 2016 S Washington St, Grand Forks, ND 58201-6342
Phone: 7013603305

KATIE STARK (NPI# 1265837991) 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) 1265837991
Entity Type Individual
Full Name KATIE STARK
Credential MOTR/L
Practice Address 2016 S Washington St
Grand Forks
ND 58201-6342
Mailing Address 1530 Western Ave
Grafton
ND 58237-2036
Practice Telephone 7013603305
Mailing Telephone 7013603305
Enumeration Date 2014-10-23
Last Update Date 2014-10-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
987 ND Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225XP0019X Occupational Therapist
Specialization: Physical Rehabilitation
987 ND Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2016 S WASHINGTON ST
City GRAND FORKS
State ND
Zip Code 58201-6342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831389279 Lindsay Dawn Schulz Speech-Language Pathologist 2016 S Washington St, Grand Forks, ND 58201-6342 2007-08-01
1508481227 Taylor White I Behavior Technician 2016 S Washington St, Grand Forks, ND 58201-6342 2020-06-09
1114546843 Brooke Hansey Behavior Technician 2016 S Washington St, Grand Forks, ND 58201-6342 2020-04-13
1215567896 Kristen Gee Behavior Technician 2016 S Washington St, Grand Forks, ND 58201-6342 2020-01-22
1467082040 Alayna Castro Behavior Technician 2016 S Washington St, Grand Forks, ND 58201-6342 2020-01-22
1366072944 Kacie Grace Baumler Behavior Technician 2016 S Washington St, Grand Forks, ND 58201-6342 2020-01-22
1750922555 Alicia Bullinger Physical Therapist 2016 S Washington St, Grand Forks, ND 58201-6342 2019-10-02
1194382143 Amy Park Behavior Technician 2016 S Washington St, Grand Forks, ND 58201-6342 2019-05-24
1174180129 Mariah Liann Duchesne Behavior Technician 2016 S Washington St, Grand Forks, ND 58201-6342 2019-05-24
1750843660 Lindsay Birke Behavior Technician 2016 S Washington St, Grand Forks, ND 58201-6342 2019-04-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255965398 Development Homes Inc Intermediate Care Facility, Mentally Retarded 5509 Cottonwood Street, Grand Forks, ND 58201 2020-02-27
1932753779 Lydia Pansegrau Occupational Therapist 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 2019-07-30
1407416019 Kristina Aikens Optometrist 1820 S 42nd St, Grand Forks, ND 58201 2019-06-17
1861963209 Jessica Kovsky Occupational Therapist 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 2018-12-11
1609345834 Altru Specialty Services, Inc Durable Medical Equipment & Medical Supplies 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 2018-11-16
1225523004 Alicia Mae Mack Registered Nurse 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 2018-06-25
1396260808 Amber White Behavior Technician 2016 S Washington St., Grand Forks, ND 58201 2017-08-04
1225579840 Kathleen Suzanne Tillman Psychologist 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 2017-03-15
1881148906 Melissa Pytlik Monson Physician Assistant 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 2016-08-05
1477936029 Laura Jane Carlson Nurse Practitioner 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 2015-07-01
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Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477972784 Tessa Nicole Larson Occupational Therapist 3139 Bluestem Dr Ste 108, West Fargo, ND 58078 2014-04-15
1639510316 Amanda Holland Occupational Therapist 1413 Sharloh Loop, Bismarck, ND 58501-7772 2013-07-10
1427242478 Kevin Kalin Anderson Occupational Therapist 7409 Oak Ct, Horace, ND 58047-9531 2007-09-04
1386853802 Anna Lee Meissner Occupational Therapist 6681 56th Ave S, Fargo, ND 58104-5655 2007-05-21
1093831026 Mary Susan Baumgartner Occupational Therapist 4372 52nd St S, Fargo, ND 58104-4237 2007-03-21
1861540973 Stephen Preston Olson Occupational Therapist 3060 Frontier Way S, Fargo, ND 58104-8909 2007-01-08
1467539353 Kristi Eslinger Occupational Therapist 2933 37th Ave S, Fargo, ND 58104-7046 2006-11-01
1427677442 Exploring Minds Development Center Occupational Therapist 120 E Calgary Ave, Bismarck, ND 58503-0302 2020-04-09
1588296487 Danielle Motl Occupational Therapist 120 E Calgary Ave, Bismarck, ND 58503-0302 2020-02-07
1376188623 Kennedy Bresnahan Occupational Therapist 3509 Interstate Blvd S Ste B, Fargo, ND 58103-2200 2019-11-11
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Competitor

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City GRAND FORKS
Zip Code 58201

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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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