Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Thea Elizabeth Jack, MPT,PCS

Pediatric Physical Therapist in Savannah, GA · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336352079

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Registry record

Entity type Individual (Type 1)

Name Mrs. Thea Elizabeth Jack

Credential MPT,PCS

Sex Female

Practice address Savannah, GA, 31406

Phone (912) 713-0277

Fax (888) 429-3741

Enumeration date May 8, 2007

Last updated in NPPES Jul 31, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

2251P0200X Pediatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License PT009479 (GA) Primary

2251P0200X Pediatric Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License QA01095200 (NJ) Secondary

Other identifiers

Identifier	Type	State	Issuer
739344620C	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1336352079 active?

Yes, as of the latest NPPES snapshot, NPI 1336352079 is active (record last updated 2020-07-31).

How do I verify Thea Jack's NPI record?

Cross-check NPI 1336352079 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-31.