MS. JACQUELINE CLEMONS LOTR
NPI 1003187451
Occupational Therapist in Archdale, NC

Active since January 17, 2012
625 ASHLAND ST, ARCHDALE, NC 27263(336) 434-2902(336) 434-4477 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jacqueline Clemons Lotr NPPES

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

MS. JACQUELINE CLEMONS LOTR (NPI 1003187451) is an individual occupational therapist in Archdale, North Carolina, licensed in North Carolina (5927) and active in the NPI registry since January 2012. She is a graduate of Other (1998).

NPPES Registry Identity

NPI1003187451
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMS. JACQUELINE CLEMONSCredential: LOTR
Location Address625 ASHLAND STArchdale, NC 27263-2943
Mailing Address5543 Frances CtWinston Salem, NC 27105-1772 · (336) 624-3454 · Fax (336) 744-5624
Fax(336) 434-4477
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 17, 2012
Last NPPES UpdateJanuary 22, 2026
NPPES CertifiedJanuary 22, 2026
NPI 1003187451 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
License Licensed in NC · 5927
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.
625 ASHLAND ST, Archdale, NC 27263

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Jacqueline Clemons Lotr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254818750
PECOS Enrollment IDI20260127000361

Other Providers at the Same Location NPPES 4

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

Physical Therapy Assistant
625 ASHLAND ST
ARCHDALE, NC 27263
Skilled Nursing Facility
625 ASHLAND ST
ARCHDALE, NC 27263
Speech-Language Pathologist
625 ASHLAND ST
ARCHDALE, NC 27263
Skilled Nursing Facility
625 ASHLAND ST
ARCHDALE, NC 27263

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 Jacqueline Clemons's NPI number?

The NPI number for Jacqueline Clemons is 1003187451. It was assigned to this individual provider in the NPPES registry on January 17, 2012.

Where is Jacqueline Clemons located?

Jacqueline Clemons practices at 625 Ashland St, Archdale, NC 27263. The listed phone number is (336) 434-2902.

What is Jacqueline Clemons's specialty?

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

Is Jacqueline Clemons enrolled in Medicare?

Yes. Jacqueline Clemons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Clemons was last updated on January 22, 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.