National Provider Identifier

Tracy Ann Doty, MOT, OTR/L

Tracy Ann Doty, MOT, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 421-2000.

NPI 1407300825Fairport, NYOccupational Therapist

Profile Overview

NPI
1407300825
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
August 15, 2016
Last Updated
October 17, 2024

Practice Location

  • 38 W Church St
  • Fairport, NY 14450-2130

Phone: (585) 421-2000

Mailing Address

  • 1483 Coral Dr
  • Farmington, NY 14425-9056

Specialties

  • Occupational Therapist (225X00000X)
  • Occupational Therapist (225X00000X)
Full Record
NPI
1407300825
Entity Type
Individual
Last Name
Doty
First Name
Tracy
Middle Name
Ann
Credential
MOT, OTR/L
Mailing Street Address
1483 Coral Dr
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-9056
Mailing Country
US
Mailing Phone
(585) 469-4822
Practice Street Address
38 W Church St
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-2130
Practice Country
US
Practice Phone
(585) 421-2000
Enumeration Date
August 15, 2016
Last Updated
October 17, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 17, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Occupational Therapist (225X00000X)