Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jackson Howison Metcalf Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1164869814

Mr. Jackson Howison Metcalf Jr., PTA is a Physical Therapy Assistant in Roanoke, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2013
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4920 Woodmar Dr SW
Roanoke, VA 24018-1651
Phone: (540) 400-0897
Fax: (540) 400-0904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2306001021 (VA)

Record details

NPI number1164869814
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJune 3, 2013
Last updated in NPPESJune 3, 2013

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