MOBILE LYMPHEDEMA CLINIC LLC
NPI 1104706837
Occupational Therapist in Fort Walton Beach, FL

Active since September 04, 2025
804 PINE ALLEY ST, FORT WALTON BEACH, FL 32547(850) 803-6683(888) 857-4412 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Sep 4, 2025 (2 updates tracked since 2025).

About Mobile Lymphedema Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOBILE LYMPHEDEMA CLINIC LLC (NPI 1104706837), doing business as Move Me Lymphatics-mobile Lymphedema Clinic, is a healthcare organization registered as an occupational therapist in Fort Walton Beach, Florida and active in the NPI registry since September 2025. The organization lists Jessica Colleen Boothe, Owner, Clinician, as its authorized official.

NPPES Registry Identity

NPI1104706837
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameMOBILE LYMPHEDEMA CLINIC LLC
Location Address804 PINE ALLEY STFort Walton Beach, FL 32547-1216
Mailing Address804 Pine Alley StFort Walton Beach, FL 32547-1216 · (850) 803-6683 · Fax (888) 857-4412
Fax(888) 857-4412
Organization SubpartNo
Authorized OfficialJessica Colleen BootheOwner, Clinician · (850) 217-2186
Enumeration DateSeptember 4, 2025
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
NPI 1104706837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
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 experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedOccupational Therapist · ErgonomicsTaxonomy 225XE1200X
Also ListedOccupational Therapist · GerontologyTaxonomy 225XG0600X
Also ListedOccupational Therapist · HandTaxonomy 225XH1200X
804 PINE ALLEY ST, Fort Walton Beach, FL 32547

Other Names 1

Doing Business AsMove Me Lymphatics-mobile Lymphedema Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
804 PINE ALLEY ST
FORT WALTON BEACH, FL 32547

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mobile Lymphedema Clinic LLC's NPI number?

The NPI number for Mobile Lymphedema Clinic LLC is 1104706837. It was assigned to this organization in the NPPES registry on September 4, 2025. The provider is doing business as Move Me Lymphatics-Mobile Lymphedema Clinic.

Where is Mobile Lymphedema Clinic LLC located?

Mobile Lymphedema Clinic LLC is located at 804 Pine Alley St, Fort Walton Beach, FL 32547. The listed phone number is (850) 803-6683.

What is Mobile Lymphedema Clinic LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Mobile Lymphedema Clinic LLC was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.