Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shawna David Clack, PT, DPT

Individual provider Physical Therapist · NPI 1710416185

Shawna David Clack, PT, DPT is a Physical Therapist in Private Practice in Richmond Hill, Georgia. Qualified in 2017, 9 years ago. Practices with Bluffton Mobile Physical Therapy, a 6-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

60 Exchange St Ste B4
Richmond Hill, GA 31324-7646
Phone: (912) 459-0072
Fax: (912) 459-0511
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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 PT012897 (GA)

Record details

NPI number1710416185
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESJune 8, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Bluffton Mobile Physical Therapy — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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