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

Nicole Berry, OTR/L

Individual provider Occupational Therapist · NPI 1730780693

Nicole Berry, OTR/L is an Occupational Therapist in Port Jeff Sta, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
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

299 Hallock Ave
Port Jeff Sta, NY 11776-1217
Phone: (631) 473-4284
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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 025113 (NY)

Record details

NPI number1730780693
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 5, 2020
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

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