Kelly Supataraporn
NPI 1083982078 · Occupational Therapist · Bolingbrook, IL
Kelly Supataraporn is a Occupational Therapist provider in Bolingbrook, IL (NPI 1083982078).
Provider details
- NPI number
- 1083982078
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 056.009273 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-12-06
- Last updated
- 2011-12-06
Frequently asked questions
- What is Kelly Supataraporn's NPI number?
- Kelly Supataraporn's National Provider Identifier (NPI) is 1083982078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Supataraporn's specialty?
- Kelly Supataraporn is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Kelly Supataraporn located?
- Kelly Supataraporn's practice location on file with NPPES is 388 Twin Creeks Dr, Bolingbrook, IL 60440-1070.
- What is Kelly Supataraporn's phone number?
- The practice phone number listed in the NPPES registry for Kelly Supataraporn is (630) 453-0134.
- Is Kelly Supataraporn's NPI active?
- Yes — Kelly Supataraporn's NPI (1083982078) is active in the NPPES registry as of the last update on 2011-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.