Individual provider Active NPI

Jill Lynn Bostelman Treen, OTR

  • Occupational Therapist
  • Brownsburg, IN
National Provider Identifier
1003546763
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007528A Issued in IN
Practice address
4695 E Northfield Dr
Brownsburg, IN 46112-1784
Phone
(317) 520-4748
NPI assigned
Jun 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31007528A IN Primary

Addresses

Primary practice location

4695 E Northfield Dr
Brownsburg, IN 46112-1784

Mailing address

4695 E Northfield Dr
Brownsburg, IN 46112-1784

Other practice location 1

2303 Phil Ward Blvd
Crawfordsville, IN 47933-4607
Phone (317) 520-4748

Other practice location 2

3850 Whitestown Pkwy
Lebanon, IN 46052-7601
Phone (317) 520-4748

Other practice location 3

1353 E Main St
Brownsburg, IN 46112-1433
Phone (317) 520-4748

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31007528AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
K1DS Count Therapy, LLC Occupational Therapist PastSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1003546763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 E NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 E NORTHFIELD DR",
            "city": "BROWNSBURG",
            "state": "IN",
            "postal_code": "461121784",
            "telephone_number": "317-520-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2303 Phil Ward Blvd",
            "address_purpose": "LOCATION",
            "city": "Crawfordsville",
            "state": "IN",
            "postal_code": "479334607",
            "country_code": "US",
            "telephone_number": "317-520-4748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 Whitestown Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "IN",
            "postal_code": "460527601",
            "country_code": "US",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1353 E Main St",
            "address_purpose": "LOCATION",
            "city": "Brownsburg",
            "state": "IN",
            "postal_code": "461121433",
            "country_code": "US",
            "telephone_number": "317-520-4748",
            "fax_number": "888-498-5529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREEN",
        "first_name": "JILL LYNN",
        "middle_name": "BOSTELMAN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007528A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsburg, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.