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

Individual provider Occupational Therapist · NPI 1992299333

Justin Charles Ryckman, OTD, OTR/L is an Occupational Therapist in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2018
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

10332 Old Olive Street Rd
Saint Louis, MO 63141-5922
Phone: (314) 567-4707
Fax: (314) 567-4505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4200 N Cloverleaf Dr, Saint Peters, MO 63376-6436 — (636) 922-4700

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2018006795 (MO)

Record details

NPI number1992299333
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD , OTR/L
Sole proprietorNo
NPI enumeratedJune 19, 2018
Last updated in NPPESJune 19, 2018

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