Individual provider · Type 1 NPI

Jessica C. Boothe, MSOT, OTR/L, CLT

Occupational Therapist · Fort Walton Beach, FL

NPI number 1194006601 Active

Practice location

804 Pine Alley St
Fort Walton Beach, FL 32547-1216

Call (860) 803-6683 Map

Fax (888) 857-4412

Specialties and licenses

TaxonomyCodeLicense
Ergonomics Occupational Therapist 225XE1200XOT14340 (FL)
Human Factors Occupational Therapist 225XH1300XOT14340 (FL)
Occupational Therapist Primary 225X00000XOT14340 (FL)
Gerontology Occupational Therapist 225XG0600XOT14340 (FL)
Environmental Modification Occupational Therapist 225XE0001XOT14340 (FL)
Physical Rehabilitation Occupational Therapist 225XP0019XOT14340 (FL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1194006601

Jessica C. Boothe, MSOT, OTR/L, CLT's National Provider Identifier is 1194006601, issued on Aug 30, 2011. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Feb 18, 2026.