Individual provider Active NPI

Jerilynn Lea Hultman, O.T.

  • Occupational Therapist
  • Joliet, IL
National Provider Identifier
1679514350
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056-003243 Issued in IL
Practice address
951 Essington Rd
Suite 400
Joliet, IL 60435-8427
Phone
(815) 942-8301
NPI assigned
Jun 10, 2006
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 056-003243 IL Primary

Addresses

Primary practice location

951 Essington Rd
Suite 400
Joliet, IL 60435-8427

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 1

IdentifierTypeStateIssuer
056003243OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000516 IL Practitioner - Occupational Therapist in Private Practice 2961450978 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3296 Executive Dr
Suite 201
Joliet, IL 60431-8501
Phone (815) 207-4223

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056-003243ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Aug 1, 2011 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Occupational Therapist CurrentSince Jun 1, 2017 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Aug 24, 2020 Accepting new patients
Hinsdale Orthopaedic Associates SC CurrentSince Jun 8, 2018 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC CurrentSince Jun 1, 2017 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Aug 24, 2020 Accepting new patients
Athletic & Therapeutic Institute of Naperville, LLC CurrentSince Aug 1, 2011 Accepting new patients
Hand Therapy Specialists, P.C. Occupational Therapist Past Accepting new patients
Oad Orthopaedics, LTD Past Accepting new patients
Occusport Services Inc. Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

550 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 323-6116

3296 Executive Dr
Ste 201
Joliet, IL 60431
Phone (815) 207-4223

3296 Executive Dr
Unit 201
Joliet, IL 60431
Phone (815) 207-4223

951 Essington Rd
Ste 400
Joliet, IL 60435
Phone (815) 942-8301

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

4700 Gilbert Ave
Ste 52
Western Springs, IL 60558
Phone (708) 387-1737

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1679514350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 ESSINGTON RD",
            "address_2": "SUITE 400",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358427",
            "telephone_number": "815-942-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULTMAN",
        "first_name": "JERILYNN",
        "middle_name": "LEA",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-003243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "056003243",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.