Individual provider Active NPI

Brielle C Seitelman, MS OTR/L

  • Occupational Therapist
  • Forest Park, IL
National Provider Identifier
1205715935
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.013890 Issued in IL
Practice address
106 Lathrop Ave Apt 1
Forest Park, IL 60130-2779
Phone
(708) 830-1818
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 056.013890 IL Primary

Addresses

Primary practice location

106 Lathrop Ave Apt 1
Forest Park, IL 60130-2779

Mailing address

106 Lathrop Ave Apt 1
Forest Park, IL 60130-2779
Phone (708) 830-1818

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056.013890ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1205715935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LATHROP AVE APT 1",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302779",
            "telephone_number": "708-830-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LATHROP AVE APT 1",
            "city": "FOREST PARK",
            "state": "IL",
            "postal_code": "601302779",
            "telephone_number": "708-830-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEITELMAN",
        "first_name": "BRIELLE",
        "middle_name": "C",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.