GAVIN DALE MCCLELLAN OTR/L
NPI 1205793510
Occupational Therapist in Provo, UT

Active since January 07, 2026Accepts Medicare Assignment

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2026, Jan 7, 2026 (2 updates tracked since 2026).

About Gavin Dale Mcclellan Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAVIN DALE MCCLELLAN OTR/L (NPI 1205793510) is an individual occupational therapist in Provo, Utah and active in the NPI registry since January 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1205793510
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameGAVIN DALE MCCLELLANCredential: OTR/L
Location Address1034 N 500 WProvo, UT 84604-3380
Mailing Address893 N 900 EPleasant Grove, UT 84062-1904 · (801) 822-7699
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJanuary 7, 2026
Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
NPI 1205793510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
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.
1034 N 500 W, Provo, UT 84604

Other Identifiers 1

Other10250403-4201UT · Dopl

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gavin Dale Mcclellan Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274004650
PECOS Enrollment IDI20260605003463

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
1034 N 500 W
PROVO, UT 84604
Hospitalist
1034 N 500 W
PROVO, UT 84604
Emergency Medicine (Emergency Medical Services)
1034 N 500 W
PROVO, UT 84604
Emergency Medicine
1034 N 500 W
PROVO, UT 84604
Speech-Language Pathologist
1034 N 500 W
PROVO, UT 84604
Occupational Therapist
1034 N 500 W
PROVO, UT 84604
Dietitian, Registered
1034 N 500 W
PROVO, UT 84604
Psychiatry & Neurology (Psychiatry)
1034 N 500 W
PROVO, UT 84604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gavin Mcclellan's NPI number?

The NPI number for Gavin Mcclellan is 1205793510. It was assigned to this individual provider in the NPPES registry on January 7, 2026.

Where is Gavin Mcclellan located?

Gavin Mcclellan practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7850.

What is Gavin Mcclellan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Gavin Mcclellan enrolled in Medicare?

Yes. Gavin Mcclellan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gavin Mcclellan was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.