MEDICARE: THE OT COLLECTIVE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1760289045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE OT COLLECTIVE, PLLC

Provider Business Mailing Address
First Line	:	1 E ERIE ST STE 525-4174
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2740
Country	:	US
Telephone Number	:	847-238-2546
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 E ERIE ST STE 525-4174
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-2740
Country	:	US
Telephone Number	:	847-800-5859
Fax Number	:

Authorized Official
Title or Position	:	OTR/L
Name	:	SARAH BRONSON
Credential	:
Telephone Number	:	847-238-2546

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	04/23/2026

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