Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578090122 Individual Practitioner Male Practitioner

Jason Robert Moore , OTR, L

Developmental Therapist • Syracuse, NY

Professional Overview & Biography Verified Profile Summary

Jason Moore, OTR, L is a registered healthcare professional specializing in Developmental Therapist in Syracuse, NY. Practice services are available at 1045 JAMES ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1045 James St

Syracuse, NY 132032730

Telephone 3154251004
Fax 3154224855
Associated Practice Facility / Clinic
🏢 Liberty Resources Inc. Facility NPI 1225254881

Specialty Benchmarks & Practice Insights

Comparative analytics for Developmental Therapist in Syracuse, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
69 Specialists

Practicing in Syracuse, NY (461 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Developmental Therapist Primary Specialty

NUCC Taxonomy Code: 222Q00000X

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Developmental Therapist

NUCC Taxonomy Code: 222Q00000X

State License NY 021340-1

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registered Occupational Therapist
021340-1 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patrice Jean , MS, CF-SLP

Developmental Therapist

NPI 1003468562

Master of Science, Clinical Fellow in Speech-Language Pathology

NPI 1013670447

Licensed Master Social Worker

Janel Taisey , MA, CCC, SLP

Speech-Language Pathologist

NPI 1023253309

Master of Arts, Certificate of Clinical Competence, Speech-Language Pathologist

Laura Zaferakis , MS, SPECED

Developmental Therapist

NPI 1023370848

Master of Science, SPECED

Brynna Tomassone , MS

Developmental Therapist

NPI 1023567336

Master of Science

NPI 1043100852

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Developmental Therapist (License #021340-1 in NY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2018

Developmental Therapist (License #$$$$$$$$$ in None)

NPI Profile Active May 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2017

Registered at 1045 JAMES ST, SYRACUSE, NY 132032730 (Tel: 3154251004)

📍
Updated Business Mailing Address May 15, 2017

Registered at 1045 JAMES ST, SYRACUSE, NY 132032730 (Tel: 3154251004)

👤
Provider Name / Credentials Updated May 15, 2017

Recorded as JASON MOORE, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2017

Developmental Therapist (License #021340-1 in NY)

🟢
Initial NPI Registration & Enumeration May 15, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1578090122
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2017
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

1045 James St

Syracuse, NY 132032730

Phone: 3154251004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.