Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andraya Storm Jackson, CTRS

Individual provider Recreation Therapist · NPI 1255039491

Andraya Storm Jackson, CTRS is a Recreation Therapist in Washington, District of Columbia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023

Practice location Address checks out

50 Irving St NW
Washington, DC 20422-0001
Phone: (202) 745-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X (VA)

Record details

NPI number1255039491
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedFebruary 17, 2023
Last updated in NPPESFebruary 17, 2023
Certification dateFebruary 17, 2023

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