Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLSIE A EDGCOMB OT
NPI 1376217216
Occupational Therapist in Utica, IL

Active since August 04, 2021
552 E US HIGHWAY 52, UTICA, IL 61373(815) 915-9460 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellsie A Edgcomb Ot NPPES

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

KELLSIE A EDGCOMB OT (NPI 1376217216) is an individual occupational therapist in Utica, Illinois, licensed in Illinois (056016950) and active in the NPI registry since August 2021. She maintains a secondary practice location in Edwardsville.

NPPES Registry Identity

NPI1376217216
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKELLSIE A EDGCOMBCredential: OT
Location Address552 E US HIGHWAY 52Utica, IL 61373-9766
Mailing Address552 E Us Highway 52Utica, IL 61373-9766
Sole ProprietorNo
Enumeration DateAugust 4, 2021
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
NPI 1376217216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in IL · 056016950
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
552 E US HIGHWAY 52, Utica, IL 61373

Secondary Practice Location 1

Location 12122 Troy Rd Ste 120Edwardsville, IL 62025-2540 · Phone (618) 800-4620

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 Kellsie Edgcomb's NPI number?

The NPI number for Kellsie Edgcomb is 1376217216. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Where is Kellsie Edgcomb located?

Kellsie Edgcomb practices at 552 E Us Highway 52, Utica, IL 61373. The listed phone number is (815) 915-9460.

What is Kellsie Edgcomb's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Kellsie Edgcomb was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.