Gavin Dale McClellan, OTR/L
NPI 1205793510ActiveIndividual· Occupational Therapist· Provo, UT
Occupational Therapist (OTR/L) in Provo, Utah, with an NPI issued in January 2026. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1205793510 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Jan 7, 2026 |
| Last updated in NPPES | Jan 30, 2026 |
| Certified by provider | Jan 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
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 (UT) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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All 35 occupational therapists in Provo · All occupational therapists in Utah