Kaleidoscope Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

KALEIDOSCOPE THERAPY, LLC

Practice address

486 Glen Crossing Rd
Glen Carbon, IL 62034-1500

Phone

(618) 977-4683

NPI assigned

Feb 18, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Robyn Rae Somraty, OTRNPI 1386750479

Title

Owner

Phone

(618) 977-4683

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robyn Rae Somraty, OTR/L

  • Pediatric Occupational Therapist
  • Glen Carbon, IL
  • NPI 1386750479

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619011012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 GLEN CROSSING RD",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 GLEN CROSSING RD",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341500",
            "telephone_number": "618-977-4683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALEIDOSCOPE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOMRATY",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-977-4683",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn M Johnson, BCBA
• Reginald Deon Johnson
• Cherish Irielle Jones, RBT
• Joshua C Allison
• Kaitlyn Juilfs, NP
• Karvinen Counseling Services, PC
• Tracy Karvinen, MA, LPC, LCPC, CADC
• Linda Joan Kelleher, CNM
• Kellerman Dental
• Kellerman Dental Group, PC

• Pediatric Occupational Therapist in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.