Shari Aisha Jackson, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA000203 Issued in DC

Practice address

3905 Dix St NE
Washington, DC 20019-1401

Phone

(202) 680-4864

Fax

(202) 847-3769

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Therapeutic Sessions Corporation

  dba Therapeutic Sessions

  • Physical Therapy Clinic/Center
  • Washington, DC
  • NPI 1851687214
  NPD
• Therapeutic Sessions Corporation

  dba Therapeutic Sessions

  • Physical Therapist
  • Washington, DC
  • NPI 1770909970
  NPD (past)

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1477189694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WELLSPRING DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224052938",
            "telephone_number": "540-273-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 DIX ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200191401",
            "telephone_number": "202-680-4864",
            "fax_number": "202-847-3769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Seminary Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041535",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHARI",
        "middle_name": "AISHA",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605425",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DC",
            "license": "PTA000203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonita Jackson, HAIR LOSS SPECIALIST
• Rickell Jackson
• Ruthette Mary Jackson, CROP AND FIRST AIDE
• Shannon Daneigh Jackson
• Shantia Jackson
• Sharon Jackson
• Shawan D Patterson Jackson, LPC
• Shawnee Jackson
• Shawnita Sharay Jackson
• Shirley Jackson

• Physical Therapy Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapy Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.