Bethany Lundeen, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056016452 Issued in IL

Practice address

1201 American Way
Libertyville, IL 60048-3935

Phone

(254) 733-5511

NPI assigned

Mar 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1003616871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 N SALEM LN",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600734944",
            "telephone_number": "254-733-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AMERICAN WAY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483935",
            "telephone_number": "254-733-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "BETHANY",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056016452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lorang, LCPC
• Sara Luce, LCPC
• Mary Luehrs-Masel, MS OTRL
• Marissa Lugo
• Deanna Isabel Lulofs, PSY D
• Patricia Lutz, MA, LPC
• Crispino Luzano Jr., PT
• Daniel Joseph Lynch, M.D.
• Erika Lynch
• Kimberly Lynn Lynch, NP-C

• Occupational Therapist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.