Specialized Occupational Therapy at Home
Helping you live more safely, confidently, and independently.
Personalized occupational therapy for adults experiencing vision loss, neurological changes, upper-extremity limitations, or difficulty completing meaningful everyday activities.
Serving select communities throughout Central and Eastern North Carolina.

Specialized occupational therapy where life happens.
Low-Vision Rehabilitation
Practical strategies for reading, lighting, glare, magnification, technology, medication management, home safety, and meaningful daily activities.
Neurological Rehabilitation
Personalized support for adults experiencing stroke, visual-perceptual changes, coordination difficulties, cognitive changes, or limitations in daily routines.
Home Safety and Functional Independence
Home-based evaluations, activity modification, adaptive-equipment recommendations, caregiver education, and aging-in-place support.
Therapy in the environment that matters most.
Your home reveals barriers that may not appear in a clinic. In-home occupational therapy allows recommendations to be developed and practiced using your actual environment, routines, technology, and everyday activities.
Personalized
Care is based on your goals, abilities, routines, and environment.
Practical
Strategies are practiced during real activities using your own belongings.
Collaborative
Family members, caregivers, and healthcare providers can be included when appropriate.

Meet Dr. Joshua C. Lucas
Occupational Therapist and Founder
Dr. Joshua C. Lucas is a licensed occupational therapist and Certified Low Vision Therapist with clinical training in low-vision rehabilitation, neurological rehabilitation, upper-extremity rehabilitation, and home-based care.
He earned his Doctor of Occupational Therapy degree from Duke University School of Medicine and completed advanced low-vision training through the Duke Eye Center's vision rehabilitation program.
His approach emphasizes practical problem-solving, meaningful activity, patient education, and respectful, individualized care.
Joshua C. Lucas, OTD, OTR/L, CLVT
In-home services in select North Carolina communities.
Service availability depends on location, scheduling, clinical needs, and insurance requirements.
Counties currently served
- Wake County
- Durham County
- Orange County
- Chatham County
- Johnston County
- Franklin County
- Nash County
- Wilson County
- Pitt County
- Wayne County
Insurance and payment
Insurance credentialing is currently in progress. Medicare, commercial insurance, and private-pay options are planned. Please contact the practice for the most current participation information.
Referring a patient?
We welcome referrals from physicians, eye-care professionals, rehabilitation providers, case managers, social workers, and community organizations.
Take the next step toward safer, more meaningful daily living.
Tell us what has become difficult and what you would like to do more safely or independently.
Contact
Service area
Central & Eastern North Carolina
Office hours
Monday – Friday · 8:00 AM – 5:00 PM
