Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edwin Dave Ricketts, OTR/L

Individual provider Occupational Therapist · NPI 1023435708

Edwin Dave Ricketts, OTR/L is an Occupational Therapist in Private Practice in Riverside, California. Qualified in 1993, 33 years ago. Practices with West Coast Spine Restoration Center Inc, a 19-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2014
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

6177 River Crest Dr #A
Riverside, CA 92507-0728
Phone: (951) 653-4480
Fax: (951) 653-5051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT 7710 (CA)

Record details

NPI number1023435708
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 19, 2014
Last updated in NPPESMarch 19, 2014
Mailing address14033 Montecito Dr, Victorville, CA 92395-4718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice West Coast Spine Restoration Center Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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