Active NPI
Brady Eggleston
- Occupational Therapist
- Grand Rapids, MI
National Provider Identifier
1124601349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201014488
- Practice address
- 2251 E Paris Ave SE
Grand Rapids, MI 49546-2431 - Phone
- (616) 447-7799
- NPI assigned
- May 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201014488 | MI | Primary |
Addresses
Primary practice location
2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Mailing address
2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14059 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1124601349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2251 E PARIS AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2251 E PARIS AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462431",
"telephone_number": "616-447-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGGLESTON",
"first_name": "BRADY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-05",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201014488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.