JACK THOMAS DUVALL DPT
NPI 1053101345
Physical Therapist in Brambleton, VA

Active since May 09, 2025Accepts Medicare Assignment
42365 SOAVE DR STE 200, BRAMBLETON, VA 20148(571) 349-3116 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jack Thomas Duvall Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK THOMAS DUVALL DPT (NPI 1053101345) is an individual physical therapist in Brambleton, Virginia and active in the NPI registry since May 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1053101345
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameJACK THOMAS DUVALLCredential: DPT
Location Address42365 SOAVE DR STE 200Brambleton, VA 20148-4888
Mailing Address42365 Soave Dr Ste 200Brambleton, VA 20148-4888 · (571) 349-3116
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1053101345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

42365 SOAVE DR STE 200, Brambleton, VA 20148

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jack Thomas Duvall Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648798199
PECOS Enrollment IDI20250519000838, I20250521000501

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
42365 SOAVE DR STE 200
BRAMBLETON, VA 20148
Physical Therapist
42365 SOAVE DR STE 200
BRAMBLETON, VA 20148
Physical Therapist
42365 SOAVE DR STE 200
BRAMBLETON, VA 20148
Physical Therapist
42365 SOAVE DR STE 200
BRAMBLETON, VA 20148
Physical Therapist
42365 SOAVE DR STE 200
BRAMBLETON, VA 20148
Physical Therapist
42365 SOAVE DR STE 200
BRAMBLETON, VA 20148
Physical Therapist
42365 SOAVE DR STE 200
BRAMBLETON, VA 20148
Physical Therapist
42365 SOAVE DR STE 200
BRAMBLETON, VA 20148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Duvall's NPI number?

The NPI number for Jack Duvall is 1053101345. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Jack Duvall located?

Jack Duvall practices at 42365 Soave Dr Ste 200, Brambleton, VA 20148. The listed phone number is (571) 349-3116.

What is Jack Duvall's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jack Duvall enrolled in Medicare?

Yes. Jack Duvall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jack Duvall was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.