Individual provider · Type 1 NPI

Mary Keely Doherty, OT

Occupational Therapist · Rutherford, NJ

NPI number 1508724477 Active

Practice location

12 Hobart Ave
Rutherford, NJ 07070-1406

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X46TR00420600 (NJ)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1508724477

Mary Keely Doherty, OT's National Provider Identifier is 1508724477, issued on Jan 12, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Rutherford, NJ. The record was last updated on Jan 12, 2026.