IndividualActive
Jacquelyn Lucido, OTRL
NPI 1134601982 · Occupational Therapist · Clinton Twp, MI
Provider details
- NPI number
- 1134601982
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTRL
- Sex
- Female
- Sole proprietor
- No
- License
- 5201010242 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19176 Hall Rd
Clinton Twp, MI 48038
Phone: (800) 379-1600
Street-level locationGet directions
Mailing address
61658 Cotswold Dr
Washington, MI 48094-1073
Additional practice locations (2)
- 23265 Northwestern Hwy Ste 200Southfield, MI 48075-7707Phone: (248) 996-9428
- 23265 Northwestern Hwy Ste 200Southfield, MI 48075-7707Phone: (248) 996-9428
Registry dates
- Enumerated
- 2018-08-29
- Last updated
- 2019-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.