Tyler Ichiki, OTR/L
Tyler Ichiki, OTR/L is an Occupational Therapist in Private Practice in Gresham, Oregon. Qualified in 2023, 3 years ago. Practices with Sportscare Physical Therapy @ Cornell, LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 3
- Licensed in
- OR
- In the registry since
- 2024
What do these letters mean?
- OTR/L — Occupational Therapist, Registered and Licensed
- An occupational therapist who is both nationally registered and state licensed.
Practice location Address checks out
24076 SE Stark St Ste 210Gresham, OR 97030-3376
Phone: (503) 491-1666
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Hand Occupational Therapist (primary) | Taxonomy 225XH1200X · Licence 505784 (OR) |
|---|
Record details
| NPI number | 1902625825 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OTR/L |
| Sole proprietor | No |
| NPI enumerated | October 8, 2024 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Sportscare Physical Therapy @ Cornell, Llc — 35 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Gresham
-
Mrs. Jean H Barnes, MOT
24076 SE Stark St Ste 200, Gresham, OR 97030-3373 · (503) 491-1666
-
Elena N Bishop, OTD, OTR/L, CHT
831 NW Council Dr Ste 200, Gresham, OR 97030-3723 · (503) 492-1876
-
Colette S. Kirkwood, OTR/L, CHT
24900 SE Stark St Ste 106, Gresham, OR 97030-3381 · (503) 674-1123
-
Ryan Douglas Glover Armworks Hand Therapy
24076 SE Stark St Ste 200, Gresham, OR 97030-3373 · (503) 491-1666