Active NPIIndividual providerSole proprietor

Mary K Doherty, OT

Occupational Therapist in Rutherford, New Jersey

NPI Number1508724477
Practice location
12 Hobart Ave, Rutherford, NJ 07070-1406
Fax
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Last updated
January 12, 2026

Mary Keely Doherty is an Occupational Therapist based in Rutherford, NJ. Mary Keely Doherty practices in Rutherford, NJ and has the professional credentials of OT. The NPI Number for Mary Keely Doherty is 1508724477 and holds a License No. 46TR00420600 (NJ). The current practice location address for Mary Keely Doherty is 12 Hobart Ave, Rutherford, NJ 07070-1406 and can be reached out via phone at 347-570-9826.

Provider Profile Details

NPI Number
1508724477
Provider Name
Mary Keely Doherty
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
12 Hobart Ave, Rutherford, NJ 07070-1406
Phone Number
347-570-9826
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 12, 2026
Last Update Date
January 12, 2026
Certification Date
January 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Hobart Ave
Rutherford, NJ 07070-1406
Zip
07070-1406
Phone Number
347-570-9826
Rutherford, NJ 07070Get directions →

Provider Business Mailing Address Details

Address
12 Hobart Ave
Rutherford, NJ 07070-1406
City
Rutherford
State
NJ
Zip
07070-1406
Phone Number
347-570-9826

License Information

License Number
46TR00420600
License State
NJ
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary K Doherty, OT?

The NPI number of Mary K Doherty, OT is 1508724477. It was assigned on January 12, 2026 and is currently active in the NPPES registry.

What is the specialty of Mary K Doherty, OT?

Mary K Doherty, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00420600.

Where does Mary K Doherty, OT practice?

The practice location is 12 Hobart Ave, Rutherford, NJ 07070-1406. The office can be reached at 347-570-9826 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508724477 directly on the NPPES registry website.

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