Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Emily Anastasya Jackson, PT, DPT, LAT, ATC

Individual provider Athletic Trainer · NPI 1164040952

Dr. Emily Anastasya Jackson, PT, DPT, LAT, ATC is an Athletic Trainer in Ashburn, Virginia. Licensed in North Carolina. Registered with an NPI since 2020.

Licensed in
NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

22505 Landmark Ct # 215
Ashburn, VA 20148-6500
Phone: (703) 726-1616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P24684 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence LAT-6216 (NC)

Record details

NPI number1164040952
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , LAT , ATC
Sole proprietorNo
NPI enumeratedJuly 8, 2020
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026

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