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

Individual provider Pediatric Physical Therapist · NPI 1093212656

Theresa Anne Ricketts, PT, MS is a Pediatric Physical Therapist in Royal Oak, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

4949 Coolidge Hwy
Royal Oak, MI 48073-1026
Phone: (248) 655-5660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 5501003204 (MI)

Record details

NPI number1093212656
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , MS
Sole proprietorYes
NPI enumeratedApril 10, 2018
Last updated in NPPESApril 10, 2018

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