Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Macy Marie Stark, OTR/L

Individual provider Gerontology Occupational Therapist · NPI 1093652950

Macy Marie Stark, OTR/L is a Gerontology Occupational Therapist in Rancho Mirage, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

78 Via Santo Tomas
Rancho Mirage, CA 92270-5816
Phone: (714) 856-8330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 28978 (CA)

Record details

NPI number1093652950
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 30, 2026
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026