JASON KAKUZO ICHIMARU OTR/L
NPI 1922514124
Occupational Therapist in Fremont, CA

Active since December 26, 2017
39650 LIBERTY ST, FREMONT, CA 94538(510) 498-3900 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2022, Dec 26, 2017 (2 updates tracked since 2017).

About Jason Kakuzo Ichimaru Otr/l NPPES

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

JASON KAKUZO ICHIMARU OTR/L (NPI 1922514124) is an individual occupational therapist in Fremont, California and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1922514124
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJASON KAKUZO ICHIMARUCredential: OTR/L
Location Address39650 LIBERTY STFremont, CA 94538-2223
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (510) 498-3900
Sole ProprietorNo
Enumeration DateDecember 26, 2017
Last NPPES UpdateJanuary 20, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
NPI 1922514124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
39650 LIBERTY ST, Fremont, CA 94538

Other Identifiers 2

Other392634Nbcot
Other18145CA · Cbot

Other Providers at the Same Location NPPES 20

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

Physical Therapist
39650 LIBERTY ST
FREMONT, CA 94538
Psychiatry & Neurology (Child & Adolescent Psychiatry)
39650 LIBERTY ST
FREMONT, CA 94538
Social Worker (Clinical)
39650 LIBERTY ST
FREMONT, CA 94538
Counselor (Mental Health)
39650 LIBERTY ST
FREMONT, CA 94538
Physical Therapist
39650 LIBERTY ST
FREMONT, CA 94538
Social Worker (Clinical)
39650 LIBERTY ST
FREMONT, CA 94538
Nurse Practitioner (Psychiatric/Mental Health)
39650 LIBERTY ST
FREMONT, CA 94538
Marriage & Family Therapist
39650 LIBERTY ST
FREMONT, CA 94538

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 Jason Ichimaru's NPI number?

The NPI number for Jason Ichimaru is 1922514124. It was assigned to this individual provider in the NPPES registry on December 26, 2017.

Where is Jason Ichimaru located?

Jason Ichimaru practices at 39650 Liberty St, Fremont, CA 94538. The listed phone number is (510) 498-3900.

What is Jason Ichimaru's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Jason Ichimaru was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.