Jacob Ryan Damante, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

22430 Issued in CA

Practice address

4964 Telegraph Rd
Ventura, CA 93003-8181

Phone

(805) 856-9000

NPI assigned

Nov 13, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empowerme Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Granite Bay, CA
  • NPI 1811737604
  Medicare reassignment NPD
• Empowerme Medical Group, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Raleigh, NC
  • NPI 1407673965
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1275046245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 LANTANA ST APT 53",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106113",
            "telephone_number": "530-219-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4964 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038181",
            "telephone_number": "805-856-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16455 E Avenue Of The Fountains",
            "address_purpose": "LOCATION",
            "city": "Fountain Hills",
            "state": "AZ",
            "postal_code": "852688307",
            "country_code": "US",
            "telephone_number": "480-351-7641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMANTE",
        "first_name": "JACOB",
        "middle_name": "RYAN",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "6915",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "22430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn E Dalbey, LMFT
• Dale R. Parry, D.D.S., Inc (Plaza Dental Group)
• Denise Dalgarn, M.S., L.M.F.T.
• Gerald E Dalgleish, M.D.
• Dali Anesthesia Medical Corp.
• Richard Damato, PHARM.D.
• Dana Keane, LMFT
• Dawn Marie Dana, LM
• Katherine Dandley
• Irving-Vinh Quang Dang, MD

• Occupational Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.