Jaqulyn Clover, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3403 Issued in AR

Practice address

6815 Isaacs Orchard Rd Ste D
Springdale, AR 72762-6285

Phone

(479) 856-6400

NPI assigned

Oct 13, 2020

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1578161550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 DUNVEGAN DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727154929",
            "telephone_number": "870-926-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 ISAACS ORCHARD RD STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626285",
            "telephone_number": "479-856-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOVER",
        "first_name": "JAQULYN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jaqulyn@thera-play.com",
            "affiliation": "N",
            "address_1": "6815 Isaacs Orchard Rd Ste D",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727626285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donald Clay, MD
• Sierra Clay, M.ED
• Clear Creek Wellness
• Michael P Clouatre, MD
• Omega Clouse, LAC
• Harrison Cobb, M.D.
• Jerri Cobb
• Carol Coble, RN
• Kathryn Michelle Cochran
• Toni Marie Cochran, APRN

• Occupational Therapist in Springdale, AR
• Providers in Springdale, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.