Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gavin Dale McClellan, OTR/L

Individual provider Occupational Therapist · NPI 1205793510

Gavin Dale McClellan, OTR/L is an Occupational Therapist in Private Practice in Provo, Utah. Accepts Medicare assignment. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1205793510
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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