Kevin Boutin, O.T.
NPI 1780740456 · Occupational Therapist · Tupelo, MS
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kevin Boutin, O.T. is a Occupational Therapist provider in Tupelo, MS (NPI 1780740456).
Provider details
- NPI number
- 1780740456
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- O.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT1239 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2007-07-09
Frequently asked questions
- What is Kevin Boutin's NPI number?
- Kevin Boutin's National Provider Identifier (NPI) is 1780740456, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Boutin's specialty?
- Kevin Boutin is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kevin Boutin located?
- Kevin Boutin's practice location on file with NPPES is 90 Clark Ave # a, Tupelo, MS 38804-2801.
- What is Kevin Boutin's phone number?
- The practice phone number listed in the NPPES registry for Kevin Boutin is (662) 840-0535.
- Does Kevin Boutin accept Medicare?
- Kevin Boutin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kevin Boutin's NPI active?
- Yes — Kevin Boutin's NPI (1780740456) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.