Jackson Howison Metcalf Jr., P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306001021 Issued in VA

Practice address

4920 Woodmar Dr SW
Roanoke, VA 24018-1651

Phone

(540) 400-0897

Fax

(540) 400-0904

NPI assigned

Jun 3, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1164869814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 WOODMAR DR SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181651",
            "telephone_number": "540-400-0897",
            "fax_number": "540-400-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 WOODMAR DR SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181651",
            "telephone_number": "540-400-0897",
            "fax_number": "540-400-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "JACKSON",
        "middle_name": "HOWISON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzan R Merten, M.D.
• Ryan Andrew Mesa, DO
• David Meshorer, PH.D.
• Ovsanna Ani Mesropyan, PSY.D.
• Katherine Messplay, LBA, BCBA
• Matthew Metzger, OT
• Jennettee L Metzler, RD
• Paul S Metzler, CRNA
• Charlene L Meyer, WHNP
• Charles Deblois Meyer, M.D.

• Physical Therapy Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.