KELLY SUPATARAPORN (NPI# 1083982078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083982078 |
| Entity Type | Individual |
| Full Name | KELLY SUPATARAPORN |
| Practice Address |
388 Twin Creeks Dr Bolingbrook IL 60440-1070 |
| Practice Telephone | 6304530134 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056.009273 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
388 TWIN CREEKS DR |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682416 | Shazia Siddiqi | Occupational Therapist | 1655 Farmside Ln, Bolingbrook, IL 60490-4964 | 2020-06-05 |
| 1649829631 | Laqueishia Cummins | Occupational Therapist | 105 Pilgrim Ct, Bolingbrook, IL 60440-2909 | 2019-09-11 |
| 1508300567 | Nicholas Rodriguez | Occupational Therapist | 334 Stafford Way, Bolingbrook, IL 60440-2128 | 2016-12-10 |
| 1033570676 | Eric Isip Magat | Occupational Therapist | 573 Pinebrook Dr, Bolingbrook, IL 60490-3173 | 2016-03-09 |
| 1720469307 | Kelan Patel | Occupational Therapist | 400 N Schmidt Rd Ste 201, Bolingbrook, IL 60440-1795 | 2015-06-09 |
| 1851734172 | Breanna Kaitlyn Carlson | Occupational Therapist | 168 Beaconridge Dr, Bolingbrook, IL 60440-2936 | 2013-04-17 |
| 1164739728 | Lauren Len Weigle | Occupational Therapist | 439 Justine Ave, Bolingbrook, IL 60440-2220 | 2010-09-02 |
| 1750601605 | Katrina Morta David | Occupational Therapist | 2320 Pebblestone Way, Bolingbrook, IL 60490-5059 | 2010-06-02 |
| 1437484110 | Jefferson James Mahinay Licup | Occupational Therapist | 226 Tiger St, Bolingbrook, IL 60490-2053 | 2009-10-13 |
| 1871745349 | Audrey Nelson Arowolo | Occupational Therapist | 879 Brompton Circle, Bolingbrook, IL 60440 | 2008-10-16 |
| Find all providers in BOLINGBROOK | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
Please comment or provide details below to improve the information on KELLY SUPATARAPORN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.