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

Mrs. Nicole Janelle Shellard, OTR/L

Individual provider Occupational Therapist · NPI 1801113667

Mrs. Nicole Janelle Shellard, OTR/L is an Occupational Therapist in Port Jefferson Station, New York. Licensed in New York. Registered with an NPI since 2010.

Licensed in
NY
In the registry since
2010
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

5225 Nesconset Hwy Ste # 30
Port Jefferson Station, NY 11776
Phone: (631) 473-4284
Fax: (631) 331-2204
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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 012229 (NY)

Record details

NPI number1801113667
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 3, 2010
Last updated in NPPESMay 3, 2010

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