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

Individual provider Occupational Therapist · NPI 1558606509

Shelly Stark, OTR is an Occupational Therapist in Broomfield, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2012
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

16671 Trinity Loop
Broomfield, CO 80023-4670
Phone: (858) 220-9598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 1925 (CO)

Record details

NPI number1558606509
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedDecember 3, 2012
Last updated in NPPESDecember 3, 2012

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