Jennifer Marion Dutton, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1439 Issued in NH

Practice address

806 North Main Street
Laconia, NH 03246

Phone

(603) 524-9090

Fax

(603) 524-1497

NPI assigned

Nov 2, 2006

Last updated

Feb 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Jennifer Marion Wilusz Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boothby Therapy Services, LLC

  • Occupational Therapist
  • Laconia, NH
  • NPI 1770797094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1376622464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 NORTH MAIN STREET",
            "address_2": "BOOTHBY THERAPY SERVICES",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "03246",
            "telephone_number": "603-524-9090",
            "fax_number": "603-524-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 NORTH MAIN STREET",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "03246",
            "telephone_number": "603-524-9090",
            "fax_number": "603-524-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTON",
        "first_name": "JENNIFER",
        "middle_name": "MARION",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "1439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH OTR LICENSE",
            "identifier": "1439",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdutton@boothbytherapy.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "endpoint is work email",
            "address_1": "806 North Main Street",
            "city": "Laconia",
            "state": "NH",
            "country_code": "US",
            "postal_code": "03246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILUSZ",
            "middle_name": "MARION",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anna Carolyn Dunkelman Gallagher
• Sara Jeanne Dupont, LICSW
• Elizabeth Durassaint, RRT
• Rachel J Dussault, DO
• Shaun Dutile, MA, PC
• Constance Dwinal, SLP
• Kellie Eastman
• Brittany Sara Edmunds
• David Ehmann, MPT
• Harold Nelson Elliott, BS

• Occupational Therapist in Laconia, NH
• Providers in Laconia, NH by specialty
• Occupational Therapist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.