JENNA ROSE MOORE OTR/L
NPI 1619583135
Occupational Therapist in Stamford, CT

Active since September 21, 2020Accepts Medicare Assignment
500 BEDFORD ST APT 445, STAMFORD, CT 06901(631) 338-8302 Get Directions Write a Review

NPPES record last updated: October 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2025, Sep 21, 2020 (2 updates tracked since 2020).

About Jenna Rose Moore Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA ROSE MOORE OTR/L (NPI 1619583135) is an individual occupational therapist in Stamford, Connecticut, licensed in New York (024971) and active in the NPI registry since September 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1619583135
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJENNA ROSE MOORECredential: OTR/L
Location Address500 BEDFORD ST APT 445Stamford, CT 06901-1525
Mailing Address500 Bedford St Apt 445Stamford, CT 06901-1525
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 21, 2020
Last NPPES UpdateOctober 7, 20252 updates tracked since enumeration
NPPES CertifiedOctober 7, 2025
✔ NPI 1619583135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 024971
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.
500 BEDFORD ST APT 445, Stamford, CT 06901

Other Names 1

Former Name (1)Jenna Diblanda Otr/l

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenna Rose Moore Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880193671
PECOS Enrollment IDI20250819001292

Medicare Billing Reassignment

Medicare enrollment records show Jenna Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Occupational Therapist
800 E GATE BLVD
Garden City, NY 11530
  • Reassigned Medicare billing, New York enrollment
  • 711 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Moore's NPI number?

The NPI number for Jenna Moore is 1619583135. It was assigned to this individual provider in the NPPES registry on September 21, 2020. The provider is also known as Jenna Diblanda Otr/L.

Where is Jenna Moore located?

Jenna Moore practices at 500 Bedford St Apt 445, Stamford, CT 06901. The listed phone number is (631) 338-8302.

What is Jenna Moore's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jenna Moore enrolled in Medicare?

Yes. Jenna Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jenna Moore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Moore reassigns Medicare benefits to Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC (Garden City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenna Moore was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.