Jaclyn Provau Eldridge, OTR/L
NPI 1649579137ActiveIndividual· Occupational Therapist· Colonial Heights, VA
Occupational Therapist (OTR/L) in Colonial Heights, Virginia, licensed in VA, with an NPI issued in March 2011.
Overview
| NPI | 1649579137 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | Yes |
| NPI issued | Mar 23, 2011 |
| Last updated in NPPES | Dec 15, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 0119005302 | VA |
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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