Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902625825 Individual Practitioner Male Practitioner

Tyler Ichiki , OTR, L

Occupational Therapist - Hand • Gresham, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tyler Ichiki, OTR, L is a certified Occupational Therapist - Hand practicing in Gresham, OR. With approximately 3 years of clinical experience since completing medical education in 2023, Tyler Ichiki delivers high-quality medical care to the local community at 24076 SE STARK ST STE 210.

Tyler Ichiki is affiliated with Sportscare Physical Therapy @ Cornell, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

24076 Se Stark St Ste 210

Gresham, OR 970303376

Telephone 5034911666
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist - Hand in Gresham, OR

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -10.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Gresham, OR (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ichiki (3 Years) 3 Yrs
Gresham Specialty Average (13.0 Years) 13.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-08
Occupational Therapist - Hand Primary Specialty

NUCC Taxonomy Code: 225XH1200X

State License OR 505784

Definition to come...

Hospital & Practice Group Affiliations

Sportscare Physical Therapy @ Cornell, Llc

24076 Se Stark St, Gresham, OR 970303376

Phone: 5034911666

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Paul Eo , DPT

Physical Therapist

NPI 1033728670

Doctor of Physical Therapy

Clem Eischen , PT

Physical Therapist

NPI 1043292311

Physical Therapist

Dr. Tara Harrington , DPT

Clinic/Center - Physical Therapy

NPI 1144860024

Doctor of Physical Therapy

Dr. Joseph Pho , DPT

Physical Therapist

NPI 1265197206

Doctor of Physical Therapy

Patrick Clinton , PT

Physical Therapist

NPI 1265801070

Physical Therapist

NPI 1295441517

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2024

Registered at 24076 SE STARK ST STE 210, GRESHAM, OR 970303376 (Tel: 5034911666)

📍
Updated Business Mailing Address October 08, 2024

Registered at 24076 SE STARK ST STE 210, GRESHAM, OR 970303376 (Tel: 5034911666)

👤
Provider Name / Credentials Updated October 08, 2024

Recorded as TYLER ICHIKI, OTR/L

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Occupational Therapist (License #505784 in OR)

🟢
Initial NPI Registration & Enumeration October 08, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902625825
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2024
Last Update: October 08, 2024
Sole Proprietor: No

Mailing Address

24076 Se Stark St Ste 210

Gresham, OR 970303376

Phone: 5034911666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.