Analiza Gamboa Fajardo, OTR/L
NPI 1659514560ActiveIndividual· Occupational Therapist, Gerontology· Jacksonville, FL
Occupational Therapist, Gerontology (OTR/L) in Jacksonville, Florida, licensed in FL and IL, with an NPI issued in April 2009. Medicare paid $1,856 for services to 12 patients in 2024.
Overview
| NPI | 1659514560 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Apr 8, 2009 |
| Last updated in NPPES | Apr 25, 2025 |
| Certified by provider | Apr 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Gerontology Primary | 225XG0600X | OT22048 | FL |
| Occupational Therapist, Gerontology | 225XG0600X | 056.008331 | IL |
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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 88 across 3 procedure codes |
| Paid by Medicare | $1,856 |
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