Active NPI
Jill Lynn Bostelman Treen, OTR
- Occupational Therapist
- Brownsburg, IN
National Provider Identifier
1003546763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31007528A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31007528A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K1DS Count Therapy, LLC | Occupational Therapist | Past | 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.