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Gavin Dale Mcclellan , OTR, L

Occupational Therapist β€’ Provo, UT

Active NPI 1205793510 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1034 N 500 W
Provo, UT 846043380

Call 8013577850 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013577850
Organization at the Same NPPES Address or Phone
Ihc Health Services, Inc Facility NPI 1235189002

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2026

Years since graduation

0 years (graduated 2026)

CMS Doctors and Clinicians data list 2026 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Gavin Mcclellan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Provo and Utah

35 active clinicians are listed under Occupational Therapist with a practice address in Provo, UT (1,031 in Utah).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Provo

0% of these 35 clinicians have the CMS telehealth indicator.

17.1% of these 35 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-30
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Dopl
10250403-4201 (UT)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Medicare Enrollment ID

I20260605003463

Enrollment State Jurisdiction

UT

PECOS Control ID

3274004650

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Reece Baker

Emergency Medicine

NPI 1285048363
Dr. Cody Barfuss , PharmD

Pharmacist - Ambulatory Care

NPI 1386333722

Doctor of Pharmacy (Pharm.D.)

Dr. Corey Barger , MD

Psychiatry & Neurology - Psychiatry

NPI 1053844258

Doctor of Medicine (M.D.)

Ted Beck , CRNA

Nurse Anesthetist, Certified Registered

NPI 1790376721

Certified Registered Nurse Anesthetist

Dr. Audrey Bergeson , MD

Emergency Medicine

NPI 1427478577

Doctor of Medicine (M.D.)

Dr. Eric Cannon , MD

Anesthesiology

NPI 1134362304

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 30, 2026

Recorded as GAVIN MCCLELLAN, OTR/L

βœ…
NPI Profile Active January 07, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 07, 2026

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577850)

πŸ“
Business Mailing Address (Initial Record) January 07, 2026

Registered at 893 N 900 E, PLEASANT GROVE, UT 840621904 (Tel: 8018227699)

πŸ‘€
Provider Name / Credentials (Initial Record) January 07, 2026

Recorded as GAVIN MCCLELLAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2026

Occupational Therapist

🟒
Initial NPI Registration & Enumeration January 07, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205793510
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2026
Last Update: January 30, 2026
Sole Proprietor: No

Other Occupational Therapists in Provo

All Occupational Therapists in Provo

Mailing Address

893 N 900 E

Pleasant Grove, UT 840621904

Phone: 8018227699

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.