Active NPI
Clarence Lott
- Physical Medicine & Rehabilitation Physician
- Cedar Hill, TX
National Provider Identifier
1093524571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 6843
- Practice address
- 216 Texas Street
Cedar Hill, TX 75104-2614 - Phone
- (469) 999-5857
- NPI assigned
- Dec 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driving and Community Mobility Occupational Therapy Assistant | 224ZR0403X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Private Vehicle | 347C00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 6843 | TX | Primary |
Addresses
Primary practice location
216 Texas Street
Cedar Hill, TX 75104-2614
Mailing address
216 Texas Street
Cedar Hill, TX 75104-2614
Phone (469) 999-5857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6843 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1093524571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 TEXAS STREET",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042614",
"telephone_number": "469-999-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 TEXAS STREET",
"city": "CEDAR HILL",
"state": "TX",
"postal_code": "751042614",
"telephone_number": "469-999-5857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "CLARENCE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-30",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "224ZR0403X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Driving and Community Mobility",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "6843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Hill, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.