Kaitlin Floarke, OTR/L

Individual provider Active NPI Occupational Therapist · Red Bud, IL

NPI 1821480997 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1821480997
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056.010749 (IL)
Practice address
1525 Locust St
Red Bud, IL 62278-1374
Phone
(618) 282-6251
NPI assigned
Feb 26, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
056.010749ILMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
P.S. Kids, LLC Occupational Therapist Past Accepting new patients
Perandoe Special Education District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.010749 IL
Occupational Therapist 225X00000X 056.010749 IL Yes
Neurorehabilitation Occupational Therapist 225XN1300X 056.010749 IL

Addresses

Primary practice location

1525 Locust St
Red Bud, IL 62278-1374

Mailing address

1525 Locust St
Red Bud, IL 62278-1374
Phone (618) 282-6251

Other practice location 1

6022 S Lindbergh Blvd Ste 100
Saint Louis, MO 63123-7040
Phone (314) 845-7751

Other practice location 2

4700 Memorial Dr
Suite 150
Belleville, IL 62226-5373
Phone (618) 257-5758

Other names

  • Kaitlin Speichinger Former name

Other providers in Red Bud, IL

All providers in Red Bud, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.