Dr. Emily Anastasya Jackson, PT, DPT, LAT, ATC
Physical Therapist in Ashburn, VA. Individual provider (NPI-1).
NPI number1164040952
StatusActive
Last updated in NPPESMay 5, 2026
Details
- NPI
- 1164040952
- Entity type
- Individual (NPI-1)
- Name
- Dr. Emily Anastasya Jackson
- Credential
- PT, DPT, LAT, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 8, 2020
- Certification date
- May 5, 2026
- Last updated
- May 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | P24684 | NC | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | LAT-6216 | NC |
Practice location
22505 Landmark Ct # 215Ashburn, VA 20148-6500
Phone 703-726-1616
Mailing address
3035 Boone Trail Ext Ste AFayetteville, NC 28304-3860
Phone 910-900-3814
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All 98 Physical Therapist providers in Ashburn · All 1,674 providers in Ashburn
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