JENNA NICOLE DERLETH OT
NPI 1902693807
Occupational Therapist in Staten Island, NY

Active since April 23, 2025Accepts Medicare Assignment
3311 HYLAN BLVD, STATEN ISLAND, NY 10306(718) 448-3210 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jenna Nicole Derleth Ot NPPES

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

JENNA NICOLE DERLETH OT (NPI 1902693807) is an individual occupational therapist in Staten Island, New York, licensed in New York (029970) and active in the NPI registry since April 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1902693807
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJENNA NICOLE DERLETHCredential: OT
Location Address3311 HYLAN BLVDStaten Island, NY 10306-3611
Mailing Address972 Brush Hollow Rd Fl 4Westbury, NY 11590-1740 · (516) 474-2816
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1902693807 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 · 029970
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.
3311 HYLAN BLVD, Staten Island, NY 10306

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenna Nicole Derleth Ot 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 ID9830609916
PECOS Enrollment IDI20250609000471

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
3311 HYLAN BLVD
STATEN ISLAND, NY 10306
Physician Assistant
3311 HYLAN BLVD, 2ND FLOOR
STATEN ISLAND, NY 10306
Orthotic Fitter
3311 HYLAN BLVD
STATEN ISLAND, NY 10306
Occupational Therapist (Hand)
3311 HYLAN BLVD
STATEN ISLAND, NY 10306
Orthopaedic Surgery
3311 HYLAN BLVD
STATEN ISLAND, NY 10306
Anesthesiology (Pain Medicine)
3311 HYLAN BLVD
STATEN ISLAND, NY 10306
Occupational Therapist
3311 HYLAN BLVD
STATEN ISLAND, NY 10306
Physician Assistant
3311 HYLAN BLVD
STATEN ISLAND, NY 10306

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 Derleth's NPI number?

The NPI number for Jenna Derleth is 1902693807. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Jenna Derleth located?

Jenna Derleth practices at 3311 Hylan Blvd, Staten Island, NY 10306. The listed phone number is (718) 448-3210.

What is Jenna Derleth's specialty?

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

Is Jenna Derleth enrolled in Medicare?

Yes. Jenna Derleth 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.

When was this NPI record last updated?

The NPPES record for Jenna Derleth was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.