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Active NPI 1255476115 Individual Practitioner Female Practitioner

Dr. Amy R Stark , OTD, OTR-L, BCP

Occupational Therapist • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Dr. Amy Stark, OTD, OTR-L, BCP is a registered healthcare professional specializing in Occupational Therapist in Springfield, MO. Practice services are available at 1300 E BRADFORD PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1300 E Bradford Pkwy

Springfield, MO 658044264

Telephone 4177615000
Fax 4177615011
Associated Practice Facility / Clinic
🏢 Burrell, Inc. Facility NPI 1881659894

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
126 Specialists

Practicing in Springfield, MO (2799 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-21
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License MO 004820

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
473908226 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jayaprabha Lafontaine , MD

Psychiatry & Neurology - Psychiatry

NPI 1003257833

Doctor of Medicine (M.D.)

Allison Robertson , MSW, LCSW

Social Worker - Clinical

NPI 1003505579

Master of Social Work, Licensed Clinical Social Worker

Jessica Aldrich , LMSW

Social Worker - Clinical

NPI 1003636150

Licensed Master Social Worker

Dr. Charles Thomas , MD

Psychiatry & Neurology - Psychiatry

NPI 1003812074

Doctor of Medicine (M.D.)

Deirdra Harris , MS, LPC

Counselor - Professional

NPI 1013207158

Master of Science, Licensed Professional Counselor

Michael Cotter , MS, LPC

Counselor - Professional

NPI 1013427657

Master of Science, Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 02, 2022

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

📍
Updated Business Mailing Address August 02, 2022

Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)

👤
Provider Name / Credentials Updated August 02, 2022

Recorded as AMY STARK, OTD, OTR-L, BCP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2022

Occupational Therapist (License #004820 in MO)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2816 W SARATOGA, OZARK, MO 657218400 (Tel: 4178482033)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2816 W SARATOGA, OZARK, MO 657218400 (Tel: 4178482033)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as AMY VAUGHAN, OTR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Occupational Therapist (License #004820 in MO)

🟢
Initial NPI Registration & Enumeration February 20, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255476115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2007
Last Update: December 21, 2022
Sole Proprietor: Yes

Mailing Address

1300 E Bradford Pkwy

Springfield, MO 658044264

Phone: 4177615000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.