Brian Jackson, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

12581 Milstead Way Ste 302
Woodbridge, VA 22192-5446

Phone

(703) 239-7336

NPI assigned

Jun 17, 2025

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tots to Teens Therapy Services, Inc

  • Occupational Therapist
  • Woodbridge, VA
  • NPI 1609049477
  NPD (past)

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1205722014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5406 MERSEA CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151929",
            "telephone_number": "571-774-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12581 MILSTEAD WAY STE 302",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925446",
            "telephone_number": "703-239-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3850 Fettler Park Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dumfries",
            "state": "VA",
            "postal_code": "220252039",
            "country_code": "US",
            "telephone_number": "703-239-7336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRIAN",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riazul Islam, PSY.D.
• Lawrence J Israel, MD
• Fatmata Mohammed Jabbie, RN
• Richard A. Jablonski, O.D.
• Walter Jachimowicz
• Donald Wayne Jackson, LPC
• Jatai Jackson
• Londyn Andrea Jackson
• Ursula Jackson
• Vicki Lynn Jackson, LMSW

• Occupational Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.