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MRS. THEA ELIZABETH JACK MPT,PCS
NPI 1336352079
Physical Therapist - Pediatrics in Savannah, GA

Active since May 08, 2007
10 MALL CT STE B, SAVANNAH, GA 31406(912) 713-0277(888) 429-3741 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Thea Elizabeth Jack Mpt,pcs NPPES

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

MRS. THEA ELIZABETH JACK MPT,PCS (NPI 1336352079) is an individual pediatrics provider in Savannah, Georgia, licensed in Georgia (PT009479) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1336352079
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. THEA ELIZABETH JACKCredential: MPT,PCS
Location Address10 MALL CT STE BSavannah, GA 31406-3691
Mailing Address10 Mall Ct Ste BSavannah, GA 31406-3691 · (912) 713-0277 · Fax (888) 429-3741
Phone(912) 713-0277
Fax(888) 429-3741
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1336352079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
Licenses✔ Licensed in GA · PT009479✔ Licensed in NJ · QA01095200
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
10 MALL CT STE B, Savannah, GA 31406
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Other Identifiers 1

Medicaid739344620CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 11

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

HILARY SCHWEGLER OTR/L
Occupational Therapist
10 MALL CT STE B
SAVANNAH, GA 31406
Chatham County (912) 351-4793
KELSEY DAVENPORT CCC SLP
Speech-Language Pathologist
10 MALL CT STE B
SAVANNAH, GA 31406
Chatham County (912) 351-4793
SARAH HENDERSON
Physical Therapist
10 MALL CT STE B
SAVANNAH, GA 31406
Chatham County (912) 351-4793
JARED D MOSLEY OTR/L
Occupational Therapist
10 MALL CT STE B
SAVANNAH, GA 31406
Chatham County (912) 351-4793
MRS. HEATHER H BATCHELOR SLP
Speech-Language Pathologist
10 MALL CT STE B
SAVANNAH, GA 31406
Chatham County (912) 429-3584
CAITLIN POLLAN
Occupational Therapist
10 MALL CT STE B
SAVANNAH, GA 31406
Chatham County (912) 351-4793
BAILEY WHITED MS CCC SLP
Speech-Language Pathologist
10 MALL CT STE B
SAVANNAH, GA 31406
Chatham County (912) 351-4793
ASHKA JIVA PT, DPT
Physical Therapist
10 MALL CT STE B, SUITE B
SAVANNAH, GA 31406
Chatham County (912) 351-4793

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 Thea Jack's NPI number?

The NPI number for Thea Jack is 1336352079. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Thea Jack located?

Thea Jack practices at 10 Mall Ct Ste B, Savannah, GA 31406. The listed phone number is (912) 713-0277.

What is Thea Jack's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

What insurance does Thea Jack accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Thea Jack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thea Jack was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.