Andrea Lynne Clemens, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-009832 Issued in AZ

Practice address

5025 E Washington St Ste 212
Phoenix, AZ 85034-7439

Phone

(602) 773-5773

NPI assigned

Feb 10, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1235944968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15740 N 83RD AVE APT 1129",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823895",
            "telephone_number": "623-255-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 E WASHINGTON ST STE 212",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850347439",
            "telephone_number": "602-773-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENS",
        "first_name": "ANDREA",
        "middle_name": "LYNNE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin W. Cleary, D.O.
• Aaron James Cleavenger, RN
• Patricia Anne Clees
• Karen Rudel Cleeves-Estabrook, OTR/L
• Melissa C Clem
• Cheridy Clement, LMSW
• Brenna Michelle Clements, FNP-C
• Courtney C Clements
• Miranda Maureen Clements, M.S., CCC-SLP
• Kaedence Lynne Clementson II

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.