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

Individual provider Occupational Therapist · NPI 1922514124

Jason Kakuzo Ichimaru, OTR/L is an Occupational Therapist in Fremont, California. Registered with an NPI since 2017.

In the registry since
2017
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

39650 Liberty St
Fremont, CA 94538-2223
Phone: (510) 498-3900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1922514124
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedDecember 26, 2017
Last updated in NPPESJanuary 20, 2022
Certification dateJanuary 20, 2022

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