Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Brad Edward Egan, OTD, OTRL

Individual provider Occupational Therapist · NPI 1639384639

Dr. Brad Edward Egan, OTD, OTRL is an Occupational Therapist in Private Practice in Chicago, Illinois. Qualified in 2002, 24 years ago. Practices with Functional Pathways Preferred of Tennessee LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
24
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

5646 N Kenmore Ave 4D
Chicago, IL 60660-4621
Phone: (864) 266-3130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 056006892 (IL)
Occupational Therapist Taxonomy 225X00000X · Licence 056006892 (IL)

Record details

NPI number1639384639
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTRL
Sole proprietorYes
NPI enumeratedMay 12, 2007
Last updated in NPPESSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Functional Pathways Preferred Of Tennessee Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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