Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared David Ricks

Individual provider Pediatric Occupational Therapist · NPI 1619517711

Jared David Ricks is a Pediatric Occupational Therapist in San Antonio, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

9502 Novacek Blvd
San Antonio, TX 78254-2121
Phone: (208) 360-9969
Fax: (325) 261-8773
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1448 E Center St Ste I, Pocatello, ID 83201-4132 — (208) 547-7145

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 120910 (TX)

Record details

NPI number1619517711
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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