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

Jack Thomas Duvall, DPT

Individual provider Physical Therapist · NPI 1053101345

Jack Thomas Duvall, DPT is a Physical Therapist in Private Practice in Brambleton, Virginia. Qualified in 2025, 1 year ago. Practices with Jackson Clinics Limited Partnership, a 115-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

42365 Soave Dr Ste 200
Brambleton, VA 20148-4888
Phone: (571) 349-3116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (VA)

Record details

NPI number1053101345
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 9, 2025
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address42365 Soave Dr Ste 200, Brambleton, VA 20148-4888

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Jackson Clinics Limited Partnership — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brambleton