Kellsie A. Edgcomb, OT
Occupational Therapist · Utica, IL
Practice location
552 E Us Highway 52Utica, IL 61373-9766
- Phone
- (815) 915-9460
NPI record
- NPI
- 1376217216
- Entity type
- Individual (Type 1)
- Enumeration date
- August 4, 2021
- Last updated
- June 29, 2026
- Certified
- June 29, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X |
056016950 | IL |
| Behavior Technician | 106S00000X |
— | — |
Other practice locations (1)
- 2122 Troy Rd Ste 120, Edwardsville, IL 62025-2540 · (618) 800-4620
About Kellsie Edgcomb
Kellsie A. Edgcomb, OT is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 552 E Us Highway 52, Utica, IL 61373-9766. The NPI number 1376217216 was assigned on August 4, 2021 and the record was last updated on June 29, 2026.
Kellsie Edgcomb lists a license in the registry: #056016950 (IL) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kellsie A. Edgcomb, OT?
The NPI number is 1376217216.
What is the phone number of Kellsie Edgcomb?
The phone number listed for the practice location is (815) 915-9460.
Where is Kellsie Edgcomb located?
552 E Us Highway 52, Utica, IL 61373-9766.
What is the taxonomy code for Kellsie Edgcomb?
The primary taxonomy code is 225X00000X – Occupational Therapist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.