Kellsie A Edgcomb, OT

Individual provider Behavior Technician · NPI 1376217216

Kellsie A Edgcomb, OT is an Occupational Therapist in Private Practice in Utica, Illinois. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying: 1
Licensed in: IL
In the registry since: 2021
Specialties on file: 2

What do these letters mean?

OT — Occupational Therapist: Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

552 E US Highway 52
Utica, IL 61373-9766
Phone: (815) 915-9460

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

2122 Troy Rd Ste 120, Edwardsville, IL 62025-2540 — (618) 800-4620

Specialties & licences

Occupational Therapist (primary)	Taxonomy 225X00000X · Licence 056016950 (IL)
Behavior Technician	Taxonomy 106S00000X

Record details

NPI number	1376217216
Entity type	Individual (Type 1)
Gender	Female
Credentials	OT
Sole proprietor	No
NPI enumerated	August 4, 2021
Last updated in NPPES	June 29, 2026
Certification date	June 29, 2026
Mailing address	552 E Us Highway 52, Utica, IL 61373-9766

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical school	OTHER
Graduated	2025 (1 years in practice)
Accepts Medicare assignment	Not indicated
Practice locations	2 on file with Medicare