Jailine Gonzalez, OTD
NPI 1053055509ActiveIndividual· Behavior Technician· Tampa, FL
Behavior Technician (OTD) with Legacy Healthcare Services Inc, practicing in Tampa, Florida. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1053055509 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTD |
| Sole proprietor | No |
| NPI issued | Apr 21, 2022 |
| Last updated in NPPES | Jan 2, 2026 |
| Certified by provider | Jan 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X | — | — |
| Occupational Therapist | 225X00000X | 26727 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (FL) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
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