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

Bryan Lee Herder, OT

Individual provider Occupational Therapist · NPI 1316169303

Bryan Lee Herder, OT is an Occupational Therapist in Private Practice in Portage, Michigan. Qualified in 2000, 26 years ago. Practices with Great Lakes Hand Therapy PC, a 5-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
26
Licensed in
MI
In the registry since
2007
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

7971 Moorsbridge Rd
Portage, MI 49024-4075
Phone: (269) 321-0929
Fax: (269) 321-1767
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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 5201005556 (MI)

Record details

NPI number1316169303
Entity typeIndividual (Type 1)
GenderMale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address7971 Moorsbridge Rd, Portage, MI 49024-4075

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Great Lakes Hand Therapy Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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