MICHELLE NICOLE DOHERTY


Address: 171 Intrepid Ln, Syracuse, NY 13205-2548
Phone: 3154374689

MICHELLE NICOLE DOHERTY (NPI# 1659890705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659890705
Entity Type Individual
Full Name MICHELLE NICOLE DOHERTY
Credential OTR/L
Practice Address 171 Intrepid Ln
Syracuse
NY 13205-2548
Mailing Address Po Box 223
Westmoreland
NY 13490-0223
Practice Telephone 3154374689
Enumeration Date 2017-09-10
Last Update Date 2017-09-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225XP0200X Occupational Therapist
Specialization: Pediatrics
NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MICHELLE DOHERTY

NPI Name Taxonomy Address Enumeration
1346758380 Michelle Anne Doherty Nurse Practitioner 125 Parker Hill Ave, Boston, MA 02120-2847 2018-01-11
1821364514 Michelle Rita Doherty Social Worker 161 Cherry St, Voices of September 11th, New Canaan, CT 06840-4827 2012-03-27

Office Location

Street Address 171 INTREPID LN
City SYRACUSE
State NY
Zip Code 13205-2548

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902907488 Todd M Stady Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2006-09-26
1154937308 Andrea Auer Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-09-22
1699386649 Chelsea Hufnagle Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-08-13
1659981934 Margaret Ann Conklin Specialist 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-08-03
1477171726 Julia Elizabeth Johnson Student in an Organized Health Care Education/Training Program 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-07-13
1053934786 Kristin Hinkey Student in an Organized Health Care Education/Training Program 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-05-28
1588297436 Abigail Jane Izzo Specialist 171 Intrepid Ln, Syracuse, NY 13205-2548 2020-02-19
1730723453 Teresa Jean Barrett Psychologist 171 Intrepid Ln, Syracuse, NY 13205-2548 2019-11-06
1679115588 Shea Lynn Beachner Specialist 171 Intrepid Ln, Syracuse, NY 13205-2548 2019-10-11
1396387296 Katelyn Michelle Warren Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2019-10-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710473707 Michelle E Case Social Worker 2610 S Salina St Ste 2, Syracuse, NY 13205 2018-07-02
1104332022 Gregory Ramsden Chiropractor 182 Intrepid Ln Ste B, Syracuse, NY 13205 2017-12-15
1619379286 Hope for Us Housing, Inc Home Health 5957 South Salina St, Syracuse, NY 13205 2014-09-25
1861822116 Michael Lee Loudner Registered Nurse 4842 Broad Rd, Syracuse, NY 13205 2013-11-24
1285987537 Teeatta Owens Licensed Practical Nurse 114 Mcclure Ave, Syracuse, NY 13205 2012-10-24
1891082533 Kamaloshini Poovalingam Student in an Organized Health Care Education/Training Program 211 Lafayette Road, 604, Syracuse, NY 13205 2011-07-01
1730483348 Kenneth E. Hoogs Md PC Urology 100 Intrepid Lane, Syracuse, NY 13205 2010-12-23
1699092361 Central Park Nursing Care 4905 S Salina St., Syracuse, NY 13205 2010-04-21
1215170741 Toni Ramele Moore Licensed Practical Nurse 614 W. Seneca Turnpike, Syracuse, NY 13205 2009-04-14
1851536080 Shalanda Cherrise Sutton Licensed Practical Nurse 228 W. Lafayette Rd, Syracuse, NY 13205 2008-12-02
Find all providers in zip 13205

Taxonomy Information

Taxonomy Code 225XP0200X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist
Specialization Pediatrics

Taxonomy Definition

Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
  • Professional degree or equivalent in occupational therapy.
  • Certified or licensed by and in good standing with an AOTA recognized credentialing or regulatory body.
  • Minimum of 5 years of practice as an occupational therapist.
  • Minimum of 5,000 hours of experience as an occupational therapist in the certification area in the last 7 calendar years.
  • Minimum of 500 hours of experience delivering occupational therapy services in the certification area to clients (individuals, groups, or populations) in the last 5 calendar years. Service delivery may be paid or voluntary.
  • Verification of employment.
AOTA Specialized Knowledge and Skills Paper: Occupational Therapy Practice in the Neonatal Intensive Care Unity (2006); AOTA Fact Sheets: Children and the Tsunami, OT for Children Birth to 3 Years of Age, OT's Role with Autism, OT in Educational Settings Under the Individuals with Disabilities Education Act, Transforming Caseload to Workload in School Based and Early Intervention OT Services, OT in Preschool Settings.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174805055 Barbara Ann Floch Occupational Therapist 1001 Lancaster Ave, Syracuse, NY 13210-3029 2011-09-15
1356638787 Margaret K Chapman Occupational Therapist 1528 Lemoyne Ave., Lemoyne Elementary School, Syracuse, NY 13039 2011-07-06
1396045456 Patricia Ann Lebel Occupational Therapist 2112 S Geddes St, Syracuse, NY 13207-1535 2010-10-23
1003123480 Lisa Marie Searles Occupational Therapist 110 Elmtree Lane, Syracuse, NY 13219 2010-09-08
1063669737 Mary Danieu Occupational Therapist 101 Turner Ave, Syracuse, NY 13219-1723 2008-08-25
1154738664 Brittany Lynn Guadagnolo Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2014-07-16
1700226735 Meghan Marie Flood Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2013-07-05
1558611392 Kelly Anne Hirschbock Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2012-09-19
1093097479 Jennifer Dawn Bailey Occupational Therapist 171 Intrepid Ln, Syracuse, NY 13205-2548 2011-09-12
1205116258 Barbara Ann Tighe-wilkinson Occupational Therapist 725 Harrison St, Special Education Department, Syracuse, NY 13210-2395 2011-08-23
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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