Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA C BOOTHE, MSOT, OTR/L, CLT
Active Sole ProprietorJESSICA C BOOTHE, MSOT, OTR/L, CLT is a Occupational Therapist healthcare provider located in FORT WALTON BEACH, Florida. NPI 1194006601 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT WALTON BEACH, FL
Registration Details
- NPI Number
- 1194006601
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2011 (14.967261546839 yrs)
- Last Updated
- Feb 18, 2026
- Licenses
-
OT14340 (FL)OT14340 (FL)OT14340 (FL)OT14340 (FL)OT14340 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
804 PINE ALLEY STFORT WALTON BEACH, FL, 325471216Browse FL providers · Browse ZIP 32547
- Phone
- 8608036683
- Fax
- 8888574412
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Human Factors Occupational Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Gerontology Occupational Therapist
- Additional Specialty
- Environmental Modification Occupational Therapist
Other Occupational Therapist Providers in FORT WALTON BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MS. TERESA M GUTIERREZ | OT CHT | 1831152131 |
| AGATA S MACDONALD | OTR/L | 1376567792 |
| BRENDA ROYSTER | — | 1083729164 |
| TANYA PHILLIPS | — | 1912013723 |
| EDITH SELDEN EZELL | OTR/L | 1457435455 |
| MRS. LISBETH LYERLY SMITH | OT | 1730376674 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.