P Praxis·MD
● Active Type 1 · Individual

Thalaline Mayer Clack, PT, DPT

Physical Therapist·Monroe, GA· NPI 1033535620 · Enumerated 2014 · 12 years on NPI
Clack is 1 of 43 physical therapist providers in Monroe and 1 of 7225 in Georgia.
NPI age
12 years
Enumerated 2014-03-06
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-04-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 7225 active physical therapist providers in Georgia.

NPI age
12 years
↑ 2 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-03Enumerated in NPPES
2014 2026

Where they practice

Practice location
920 Georgia Highway 138
Monroe, GA 306550793
📞 8123452685
Mailing address
2180 Breezewood Drive
Monroe, GA 300140793

Specialties

  • Physical Therapist Primary
    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...
    GA license #10022 taxonomy 225100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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