Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erin Malia Nishikawa Sako, OTD, OTR/L

Individual provider Occupational Therapist · NPI 1790259471

Erin Malia Nishikawa Sako, OTD, OTR/L is an Occupational Therapist in Private Practice in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with Re Active Physical Therapy and Wellness, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
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

1640 Marengo St Ste 500
Los Angeles, CA 90033-1061
Phone: (323) 442-3340
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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 19572 (CA)

Record details

NPI number1790259471
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedJanuary 16, 2019
Last updated in NPPESNovember 7, 2020
Certification dateNovember 7, 2020

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Re Active Physical Therapy And Wellness — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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