Rebbecca Ann Gwaltney, COTA/L
NPI 1235499120ActiveIndividual· Technician, Other· Jacksonville, IL
Technician, Other (COTA/L) in Jacksonville, Illinois, licensed in IL, with an NPI issued in May 2012.
Overview
| NPI | 1235499120 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA/L |
| Sole proprietor | Yes |
| NPI issued | May 24, 2012 |
| Last updated in NPPES | May 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Other Primary | 247200000X | 057.002498 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Technician, Other providers in Jacksonville
- 1235670191