Jennifer Catherine Lundeberg, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32001108A Issued in IN

Practice address

118 Medical Dr
Carmel, IN 46032-3323

Phone

(317) 844-4211

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By the provider in NPPES

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1215618830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15425 BOWIE DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748372",
            "telephone_number": "317-796-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MEDICAL DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323323",
            "telephone_number": "317-844-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEBERG",
        "first_name": "JENNIFER",
        "middle_name": "CATHERINE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32001108A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lukowiak
• Luminary Hospice of Indiana, LLC (Luminary Hospice)
• Amanda H. Luna, PSYD
• Kimberly Lunato
• Mark Lund, D.D.S., M.S.D.
• Denise Lunsford, P.T.
• Roxanna Luster
• Kara Christine Lutes, APRN, NP
• Theresa A Luttrell Stroup, OTR
• Luxottica of America Inc. (Target Optical #4244)

• Occupational Therapy Assistant in Carmel, IN
• Providers in Carmel, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.