Individual provider · Type 1 NPI

Nicole Janelle Shellard, OTR/L

Occupational Therapist · Port Jefferson Station, NY

NPI number 1801113667 Active

Practice location

5225 Nesconset Hwy, Suite # 30
Port Jefferson Station, NY 11776

Call (631) 473-4284 Map

Fax (631) 331-2204

Mailing address

162 Symphony Drive
Lake Grove, NY 11755

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X012229 (NY)

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 1801113667

Nicole Janelle Shellard, OTR/L's National Provider Identifier is 1801113667, issued on May 3, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on May 3, 2010.