Individual provider Active NPI

Holly Grace Lundstedt, MSOT, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1568397974
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.016976 Issued in IL
Practice address
1820 W Webster Ave Ste 202
Chicago, IL 60614-4892
Phone
(847) 971-3771
NPI assigned
Jun 16, 2026
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 056.016976 IL Primary

Addresses

Primary practice location

1820 W Webster Ave Ste 202
Chicago, IL 60614-4892

Mailing address

32 Pheasant Run
Hawthorn Woods, IL 60047-9785
Phone (847) 334-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, shared by 6 NPIs, 361 clinicians

Practice addresses (Care Compare)

1625 S Arlington Heights Rd
Arlington Heights, IL 60005-3769
Phone (224) 324-4695

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1568397974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PHEASANT RUN",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600479785",
            "telephone_number": "847-334-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W WEBSTER AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144892",
            "telephone_number": "847-971-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDSTEDT",
        "first_name": "HOLLY",
        "middle_name": "GRACE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.016976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.