| Jack Thomas Duvall, DPT | |
|
42365 Soave Dr Ste 200, Brambleton, VA 20148-4888 | |
| (571) 349-3116 | |
| Not Available |
| Full Name | Jack Thomas Duvall |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 0 Years |
| Location | 42365 Soave Dr Ste 200, Brambleton, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053101345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson Clinics Limited Partnership | 2860623295 | 105 |
| Jackson Clinics Limited Partnership | 2860623295 | 105 |
| Provider Name | Jackson Clinics Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140327000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Thomas Duvall, DPT 42365 Soave Dr Ste 200, Brambleton, VA 20148-4888 Ph: (571) 349-3116 | Jack Thomas Duvall, DPT 42365 Soave Dr Ste 200, Brambleton, VA 20148-4888 Ph: (571) 349-3116 |
Benjamin Birley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42365 Soave Dr Ste 200, Brambleton, VA 20148 Phone: 571-349-3116 Fax: 571-349-3119 | |
Aparna Sarma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 42523 Magellan Sq, Brambleton, VA 20148 Phone: 347-781-1890 | |
Elizabeth Marie Signorelli, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42365 Soave Dr Ste 200, Brambleton, VA 20148 Phone: 571-349-3116 Fax: 571-349-3119 | |
Pathik Patel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42365 Soave Dr Ste 200, Brambleton, VA 20148 Phone: 571-349-3116 | |
Victoria Anne Crapes, Physical Therapist Medicare: Medicare Enrolled Practice Location: 42365 Soave Dr Ste 200, Brambleton, VA 20148 Phone: 571-349-3116 Fax: 571-349-3119 | |
Flexcare Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22753 Highcrest Cir, Brambleton, VA 20148 Phone: 551-208-2398 |