Individual provider Active NPI

Kirsten Amundson, MOT, OTR/L

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1659912822
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.013289 Issued in IL
Practice address
1739 N Elston Ave
Chicago, IL 60642-1544
Phone
(773) 672-7775
NPI assigned
Sep 30, 2019
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 056.013289 IL Primary

Addresses

Primary practice location

1739 N Elston Ave
Chicago, IL 60642-1544

Mailing address

1739 N Elston Ave
Chicago, IL 60642-1544
Phone (773) 672-7775

Other identifiers 1

IdentifierTypeStateIssuer
056.013289OtherSTATE OF LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Grayslake
Other URL Grayslake Direct

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
056.013289ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Links, P.C. Occupational Therapist PastSince Oct 1, 2019 Accepting new patients
Chicago Pediatric Therapy & Wellness Center, LLC Past Accepting new patients

Organizations & group practices 2

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": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1659912822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421544",
            "telephone_number": "773-672-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606421544",
            "telephone_number": "773-672-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "KIRSTEN",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF LICENSE",
            "identifier": "056.013289",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Grayslake",
            "affiliation": "N",
            "address_1": "998 Progress Dr",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600301671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Grayslake",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "998 Progress Dr",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600301671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 7, 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.