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

Brian Jackson, OTD

Individual provider Pediatric Occupational Therapist · NPI 1205722014

Brian Jackson, OTD is a Pediatric Occupational Therapist in Woodbridge, Virginia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

12581 Milstead Way Ste 302
Woodbridge, VA 22192-5446
Phone: (703) 239-7336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3850 Fettler Park Dr Ste 103, Dumfries, VA 22025-2039 — (703) 239-7336

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Pediatric Occupational Therapist Taxonomy 225XP0200X

Record details

NPI number1205722014
Entity typeIndividual (Type 1)
GenderMale
Credentials OTD
Sole proprietorNo
NPI enumeratedJune 17, 2025
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025
Mailing address5406 Mersea Ct, Burke, VA 22015-1929

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