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

Michelle Nicole Doherty, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1659890705

Michelle Nicole Doherty, OTR/L is a Pediatric Occupational Therapist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

171 Intrepid Ln
Syracuse, NY 13205-2548
Phone: (315) 437-4689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X (NY)

Record details

NPI number1659890705
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 10, 2017
Last updated in NPPESSeptember 10, 2017

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