JESSICA C BOOTHE MSOT, OTR/L, CLT
NPI 1194006601
Occupational Therapist in Fort Walton Beach, FL
About Jessica C Boothe Msot, Otr/l, Clt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA C BOOTHE MSOT, OTR/L, CLT (NPI 1194006601) is an individual occupational therapist in Fort Walton Beach, Florida, licensed in Florida (OT14340) and active in the NPI registry since August 2011. She is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 6
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jessica C Boothe Msot, Otr/l, Clt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Boothe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Walton Beach, FL 32547
- Reassigned Medicare billing, Florida enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Boothe's NPI number?
The NPI number for Jessica Boothe is 1194006601. It was assigned to this individual provider in the NPPES registry on August 30, 2011. The provider is also known as Jessica C Maresh Msot, Otr/L.
Where is Jessica Boothe located?
Jessica Boothe practices at 804 Pine Alley St, Fort Walton Beach, FL 32547. The listed phone number is (860) 803-6683.
What is Jessica Boothe's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Jessica Boothe enrolled in Medicare?
Yes. Jessica Boothe is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Boothe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Boothe reassigns Medicare benefits to Mobile Lymphedema Clinic LLC (Fort Walton Beach, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Boothe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Boothe 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 8 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.