Individual provider Active NPI

Marilyn Carmen Treinen, OT

  • Occupational Therapist
  • Sheldon, IA
National Provider Identifier
1831261908
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
409 Issued in IA
Practice address
118 N 7TH Ave
Sheldon, IA 51201-1235
Phone
(712) 324-5041
Fax
(712) 324-6025
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 409 IA Primary

Addresses

Primary practice location

118 N 7TH Ave
Sheldon, IA 51201-1235

Mailing address

118 N 7TH Ave
P.O. Box 250
Sheldon, IA 51201-1235
Phone (712) 324-5041

Other identifiers 3

IdentifierTypeStateIssuer
0601260MedicaidIA
0655407MedicaidIA
0803635MedicaidIA

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
409IAMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831261908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N 7TH AVE",
            "address_2": "P.O. BOX 250",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011235",
            "telephone_number": "712-324-5041",
            "fax_number": "712-324-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N 7TH AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011235",
            "telephone_number": "712-324-5041",
            "fax_number": "712-324-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREINEN",
        "first_name": "MARILYN",
        "middle_name": "CARMEN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601260",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655407",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803635",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheldon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.