TYLER ICHIKI OTR/L
NPI 1902625825
Occupational Therapist - Hand in Gresham, OR

Active since October 08, 2024Accepts Medicare Assignment
24076 SE STARK ST STE 210, GRESHAM, OR 97030(503) 491-1666 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tyler Ichiki Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER ICHIKI OTR/L (NPI 1902625825) is an individual hand provider in Gresham, Oregon, licensed in Oregon (505784) and active in the NPI registry since October 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1902625825
Entity TypeIndividualMale
Primary Taxonomy225XH1200X
Provider Legal NameTYLER ICHIKICredential: OTR/L
Location Address24076 SE STARK ST STE 210Gresham, OR 97030-3376
Mailing Address24076 Se Stark St Ste 210Gresham, OR 97030-3376 · (503) 491-1666
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
NPI 1902625825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License Licensed in OR · 505784
24076 SE STARK ST STE 210, Gresham, OR 97030

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tyler Ichiki Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688109986
PECOS Enrollment IDI20241122004088

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
24076 SE STARK ST STE 210
GRESHAM, OR 97030
Durable Medical Equipment & Medical Supplies
24076 SE STARK ST STE 210
GRESHAM, OR 97030
Occupational Therapist
24076 SE STARK ST STE 210
GRESHAM, OR 97030
Occupational Therapist
24076 SE STARK ST STE 210
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Ichiki's NPI number?

The NPI number for Tyler Ichiki is 1902625825. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Tyler Ichiki located?

Tyler Ichiki practices at 24076 SE Stark St Ste 210, Gresham, OR 97030. The listed phone number is (503) 491-1666.

What is Tyler Ichiki's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

Is Tyler Ichiki enrolled in Medicare?

Yes. Tyler Ichiki is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tyler Ichiki accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Tyler Ichiki as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Ichiki was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.