Jessica C. Boothe, MSOT, OTR/L, CLT
NPI 1194006601ActiveIndividual· Occupational Therapist· Fort Walton Beach, FL
Occupational Therapist (MSOT, OTR/L, CLT) in Fort Walton Beach, Florida, licensed in FL, with an NPI issued in August 2011. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1194006601 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSOT, OTR/L, CLT |
| Sole proprietor | Yes |
| NPI issued | Aug 30, 2011 |
| Last updated in NPPES | Feb 18, 2026 |
| Certified by provider | Feb 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT14340 | FL |
| Occupational Therapist, Ergonomics | 225XE1200X | OT14340 | FL |
| Occupational Therapist, Human Factors | 225XH1300X | OT14340 | FL |
| Occupational Therapist, Gerontology | 225XG0600X | OT14340 | FL |
| Occupational Therapist, Environmental Modification | 225XE0001X | OT14340 | FL |
| Occupational Therapist, Physical Rehabilitation | 225XP0019X | OT14340 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (FL) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Other occupational therapists in Fort Walton Beach
- 1104706837
- 1508943820
- 1700440500
- 1922523018
- 1073989620
- 1154210482
- 1386108355
- 1578066932
- 1811670227
- 1699652818
- 1831863067
- 1952194268
All 53 occupational therapists in Fort Walton Beach · All occupational therapists in Florida