Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Gansen, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1972260594

Tyler Gansen, OTR/L is a Pediatric Occupational Therapist in Minnetonka, Minnesota. Registered with an NPI since 2021.

In the registry since
2021
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

10273 Yellow Circle Dr
Minnetonka, MN 55343-9144
Phone: (952) 401-9359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1972260594
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedNovember 18, 2021
Last updated in NPPESNovember 18, 2021
Certification dateNovember 17, 2021

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