Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jason Robert Moore, OTR/L

Individual provider Developmental Therapist · NPI 1578090122

Mr. Jason Robert Moore, OTR/L is a Developmental Therapist in Syracuse, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1045 James St
Syracuse, NY 13203-2730
Phone: (315) 425-1004
Fax: (315) 422-4855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X
Developmental Therapist Taxonomy 222Q00000X · Licence 021340-1 (NY)

Record details

NPI number1578090122
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESJuly 21, 2022

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