Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Thea Elizabeth Jack, MPT, PCS

Individual provider Pediatric Physical Therapist · NPI 1336352079

Mrs. Thea Elizabeth Jack, MPT, PCS is a Pediatric Physical Therapist in Savannah, Georgia. Practices as a sole proprietor. Licensed in Georgia and New Jersey.

Licensed in
GA, NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

10 Mall Ct Ste B
Savannah, GA 31406-3691
Phone: (912) 713-0277
Fax: (888) 429-3741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence PT009479 (GA)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence QA01095200 (NJ)

Record details

NPI number1336352079
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPT , PCS
Sole proprietorYes
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

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