Fallon Mary Gouveia, OTR/L, LAT, ATC
NPI 1174081350ActiveIndividual· Occupational Therapist· Malvern, PA
Occupational Therapist (OTR/L, LAT, ATC) in Malvern, Pennsylvania, licensed in PA, with an NPI issued in March 2019.
Overview
| NPI | 1174081350 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L, LAT, ATC |
| Sole proprietor | No |
| NPI issued | Mar 7, 2019 |
| Last updated in NPPES | Jan 28, 2025 |
| Certified by provider | Jan 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | O3018293 | PA |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | PA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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