MR. KEVIN BOUTIN O.T.
NPI 1780740456
Occupational Therapist in Tupelo, MS

Active since December 28, 2006
90 CLARK AVE # A, TUPELO, MS 38804(662) 840-0535(662) 842-7915 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kevin Boutin O.t. NPPES

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

MR. KEVIN BOUTIN O.T. (NPI 1780740456) is an individual occupational therapist in Tupelo, Mississippi, licensed in Mississippi (OT1239) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1780740456
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameMR. KEVIN BOUTINCredential: O.T.
Location Address90 CLARK AVE # ATupelo, MS 38804-2801
Mailing Address90 Clark Ave # ATupelo, MS 38804-2801 · (662) 840-0535 · Fax (662) 842-7915
Fax(662) 842-7915
Sole ProprietorYes
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1780740456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in MS · OT1239
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.

90 CLARK AVE # A, Tupelo, MS 38804

Other Identifiers 1

Medicaid00123797MS

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Physical Therapist
90 CLARK AVE # A
TUPELO, MS 38804
Occupational Therapist
90 CLARK AVE # A
TUPELO, MS 38804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780740456, enumerated as an "individual" on December 28, 2006.

The provider is located at 90 CLARK AVE # A TUPELO, MS 38804 and the phone number is (662) 840-0535.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.