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

MS. Jacqueline Clemons, LOTR

Individual provider Occupational Therapist · NPI 1003187451

MS. Jacqueline Clemons, LOTR is an Occupational Therapist in Private Practice in Archdale, North Carolina. Qualified in 1998, 28 years ago. Licensed in North Carolina.

Years since qualifying
28
Licensed in
NC
In the registry since
2012

Practice location Address checks out

625 Ashland St
Archdale, NC 27263-2943
Phone: (336) 434-2902
Fax: (336) 434-4477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5927 (NC)

Record details

NPI number1003187451
Entity typeIndividual (Type 1)
GenderFemale
Credentials LOTR
Sole proprietorNo
NPI enumeratedJanuary 17, 2012
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare