Individual provider · Type 1 NPI

Jenna Nicole Derleth, OT

Occupational Therapist · Staten Island, NY

NPI number 1902693807 Active

Practice location

3311 Hylan Blvd
Staten Island, NY 10306-3611

Call (718) 448-3210 Map

Mailing address

972 Brush Hollow Rd Fl 4
Westbury, NY 11590-1740

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X029970 (NY)

Occupational Therapist: 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…

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About NPI 1902693807

Jenna Nicole Derleth, OT's National Provider Identifier is 1902693807, issued on Apr 23, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 23, 2025.