Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Andrew Dyjak, OTR/L

Individual provider Occupational Therapist · NPI 1497220487

Andrew Dyjak, OTR/L is an Occupational Therapist in Private Practice in Los Angeles, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2018
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3130 Wilshire Blvd
Los Angeles, CA 90010-1206
Phone: (213) 389-1004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 19217 (CA)

Record details

NPI number1497220487
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 5, 2018
Last updated in NPPESOctober 5, 2018

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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