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

Ileana Jackson, OT

Individual provider Occupational Therapist · NPI 1952188658

Ileana Jackson, OT is an Occupational Therapist in Chantilly, Virginia. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

14901 Bogle Dr Ste 100
Chantilly, VA 20151-1736
Phone: (571) 346-3781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 0119009995 (VA)

Record details

NPI number1952188658
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 14, 2023
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

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