Individual provider · Type 1 NPI

Angelica Stark, MSOT, OTR/L

Occupational Therapist · New York, NY

NPI number 1104764059 Active

Practice location

976 Amsterdam Ave
New York, NY 10025-2201

Fax (212) 222-8129

Mailing address

1555 2nd Ave Apt 4F
New York, NY 10028-3909

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X031031 (NY)

Occupational Therapist: 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…

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About NPI 1104764059

Angelica Stark, MSOT, OTR/L's National Provider Identifier is 1104764059, issued on Mar 23, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New York, NY. The record was last updated on Mar 23, 2026.