Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Ryan Damante, MSOTR/L

Individual provider Occupational Therapist · NPI 1275046245

Jacob Ryan Damante, MSOTR/L is an Occupational Therapist in Private Practice in Ventura, California. Qualified in 2017, 9 years ago. Practices as a sole proprietor, works from 2 locations and offers telehealth. Licensed in Arizona and California.

Years since qualifying
9
Licensed in
AZ, CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4964 Telegraph Rd
Ventura, CA 93003-8181
Phone: (805) 856-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16455 E Avenue Of The Fountains, Fountain Hills, AZ 85268-8307 — (480) 351-7641

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 22430 (CA)
Occupational Therapist Taxonomy 225X00000X · Licence 6915 (AZ)

Record details

NPI number1275046245
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOTR/L
Sole proprietorYes
NPI enumeratedNovember 13, 2017
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Ventura