NPI age
19 years
Enumerated 2007-05-08
● Active
Type 1 · Individual
MRS. Thea Elizabeth Jack, MPT,PCS
Jack is 1 of 18 physical therapist providers in Savannah and 1 of 278 in Georgia.
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
GA, NJ
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-07-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 278 active physical therapist providers in Georgia.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 96% — 4% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
10 Mall Ct Ste B
Savannah, GA 314063691
Mailing address
10 Mall Ct Ste B
Savannah, GA 314063691
Specialties
-
Physical Therapist PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 739344620C |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.