Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaleidoscope Therapy, LLC

Organization Pediatric Occupational Therapist · NPI 1619011012

Kaleidoscope Therapy, LLC is a Pediatric Occupational Therapist in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

486 Glen Crossing Rd
Glen Carbon, IL 62034-1500
Phone: (618) 977-4683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X (IL)

Record details

NPI number1619011012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robyn Somraty — Owner · (618) 977-4683
NPI enumeratedFebruary 18, 2007
Last updated in NPPESAugust 22, 2020
Mailing address486 Glen Crossing Rd, Glen Carbon, IL 62034-1500

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