Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel L Jack Jr., PT

Individual provider Physical Therapist · NPI 1083919278

Daniel L Jack Jr., PT is a Physical Therapist in Stone Mountain, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1185 To Lani Dr
Stone Mountain, GA 30083-5361
Phone: (404) 298-7708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT009595 (GA)

Record details

NPI number1083919278
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 19, 2011
Last updated in NPPESJanuary 19, 2011
Mailing address1185 To Lani Dr, Stone Mountain, GA 30083-5361

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