Jessica Boutin, MSOTR/L, WCC
Occupational Therapist in Brockton, Massachusetts
1578073557- Practice location
- 940 Belmont St, Brockton, MA 02301-5568
- Phone
- 774-826-1811
- Fax
- —
- Last updated
- March 27, 2020
Jessica Boutin is an Occupational Therapist based in Brockton, MA. Jessica Boutin practices in Brockton, MA and has the professional credentials of MSOTR/L, WCC. The NPI Number for Jessica Boutin is 1578073557 and holds a License No. 332720 (MA). The current practice location address for Jessica Boutin is 940 Belmont St, Brockton, MA 02301-5568 and can be reached out via phone at 774-826-1811.
Provider Profile Details
- NPI Number
- 1578073557
- Provider Name
- Jessica Boutin
- Credential
- MSOTR/L, WCC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 940 Belmont St, Brockton, MA 02301-5568
- Phone Number
- 774-826-1811
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2017
- Last Update Date
- March 27, 2020
- Certification Date
- March 27, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 940 Belmont St
Brockton, MA 02301-5568 - City
- Brockton
- State
- Massachusetts
- Zip
- 02301-5568
- Phone Number
- 774-826-1811
Provider Business Mailing Address Details
- Address
- 117 Thurlow St
Georgetown, MA 01833-1132 - City
- Georgetown
- State
- MA
- Zip
- 01833-1132
- Phone Number
- 978-430-5367
License Information
- License Number (1)
- 332720
- License State (1)
- MA
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- License Number (2)
- 2433
- License State (2)
- NH
- Taxonomy (2)
- Occupational Therapist · 225X00000X
- License Number (3)
- 11366
- License State (3)
- MA
- Taxonomy (3)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jessica Boutin, MSOTR/L, WCC?
The NPI number of Jessica Boutin, MSOTR/L, WCC is 1578073557. It was assigned on October 4, 2017 and is currently active in the NPPES registry.
What is the specialty of Jessica Boutin, MSOTR/L, WCC?
Jessica Boutin, MSOTR/L, WCC is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 332720.
Where does Jessica Boutin, MSOTR/L, WCC practice?
The practice location is 940 Belmont St, Brockton, MA 02301-5568. The office can be reached at 774-826-1811 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578073557 directly on the NPPES registry website.