Jenna Rose Moore · Jenna Diblanda · Occupational Therapist

500 Bedford St Apt 445, Stamford, CT 06901-1525

Overview

Jenna Rose Moore is a Occupational Therapist practicing in Stamford, Connecticut. The National Provider Identifier (NPI) is #1619583135, which was assigned on September 21, 2020, and the registration record was last updated on October 7, 2025. The practitioner's main practice location is at 500 Bedford St Apt 445, Stamford, CT 06901-1525; the contact telephone number is 6313388302. The primary taxonomy of Jenna Rose Moore is Occupational Therapist (225X00000X). Jenna Rose Moore is licensed to practice in the state of New York (#024971).

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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Provider Information

NPI 1619583135
Entity Type Individual
Provider Name JENNA ROSE MOORE
Other Name JENNA DIBLANDA
(Former Name)
Gender Female
Credential OTR/L
Other Credential OTR/L
Practice Address 500 Bedford St Apt 445
Stamford
CT 06901-1525
Practice Telephone 6313388302
Mailing Address 500 Bedford St Apt 445
Stamford
CT 06901-1525
Certification Date 2025-10-07
Enumeration Date 2020-09-21
Last Update Date 2025-10-07
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 4880193671
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name JENNA ROSE DIBLANDA
Primary Specialty OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Organization Legal Name METRO PHYSICAL OCCUPATIONAL SPEECH MASSAGE THERAPY AND ACUPUNCTURE PLL
Address 1150 Portion Rd
Suite 3
Holtsville
NY 11742-1074

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y225X00000XOccupational Therapist024971NY

Taxonomy Information

Primary Taxonomy

Code 225X00000X
Taxonomy Occupational Therapist
Classification Occupational Therapist
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: 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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

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Location Information

Street Address 500 BEDFORD ST APT 445
City STAMFORD
State CT
Zip Code 06901-1525
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Eric Moore 500 Bedford St Apt 445, Stamford, CT 06901-1525Occupational Therapist2020-09-21

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Vito Ferrucci 833 Summer St, Suite 1b, Stamford, CT 06901Obstetrics & Gynecology Physician2006-10-02
Leonard Ferrucci 833 Summer St, Suite 1b, Stamford, CT 06901Obstetrics & Gynecology Physician2006-10-02
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Sheikh M Zakaria 922 Washington Boulevard, Stamford, CT 06901Pharmacist2019-06-18
Mandeep Singh Hura 141 Franklin St, Stamford, CT 06901General Practice Dentistry2011-06-16
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Presto Dental PLLC 127 Greyrock Place, Stamford, CT 06901Oral and Maxillofacial Surgery (Dentist)2024-11-01
Lukas A Konandreas 660 Bedford St, Stamford, CT 06901Pediatrics Physician2010-10-27
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.