Kevin Boutin, O.T.
NPI 1780740456ActiveIndividual· Occupational Therapist· Tupelo, MS
Occupational Therapist (O.T.) in Tupelo, Mississippi, licensed in MS, with an NPI issued in December 2006. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1780740456 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.T. |
| Sole proprietor | Yes |
| NPI issued | Dec 28, 2006 |
| Last updated in NPPES | Jul 9, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OT1239 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MS) |
|---|
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