IndividualActive
Shari Jackson, LPTA
NPI 1477189694 · Physical Therapy Assistant · Washington, DC
Provider details
- NPI number
- 1477189694
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- No
- License
- 2306605425 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3905 Dix St Ne
Washington, DC 20019-1401
Phone: (202) 680-4864
Fax: (202) 847-3769
Approximate (ZIP-level) locationGet directions
Mailing address
65 Wellspring Dr
Fredericksburg, VA 22405-2938
Additional practice locations (1)
- 4320 Seminary RdAlexandria, VA 22304-1535Phone: (703) 504-3000
Registry dates
- Enumerated
- 2020-03-19
- Last updated
- 2020-03-19
- Certified
- 2020-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.