Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Damien S Jackson-Ricketts, PT, DPT

Individual provider Physical Therapist · NPI 1346765195

Dr. Damien S Jackson-Ricketts, PT, DPT is a Physical Therapist in Venice, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

904 Palms Blvd
Venice, CA 90291-3853
Phone: (276) 768-7816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 293358 (CA)

Record details

NPI number1346765195
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 12, 2017
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021

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