Individual provider

Thea Jack, MPT,PCS

Pediatric Physical Therapist

Thea Jack, MPT,PCS is a Pediatric Physical Therapist in Savannah, GA, registered under NPI 1336352079. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 10 MALL CT STE B, Savannah, GA 31406. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

10 MALL CT STE B, Savannah, GA 31406 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PT009479 GA Pediatric Physical Therapist primary
QA01095200 NJ Pediatric Physical Therapist

Licences are recorded in 2 states: GA, NJ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Georgia and New Jersey. The practice address on file is in Savannah, GA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

GA Georgia practice address
Licence
PT009479
Specialty
Pediatric Physical Therapist
Verify with the GA board →
NJ New Jersey
Licence
QA01095200
Specialty
Pediatric Physical Therapist
Verify with the NJ board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Pediatrics covers

A 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 development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. NUCC Health Care Provider Taxonomy, code 2251P0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Pediatrics

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2251P0200X Pediatric Physical Therapist Pediatrics PT009479 GA primary
2251P0200X Pediatric Physical Therapist Pediatrics QA01095200 NJ

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1336352079 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 8, 2007
Last updatedJul 31, 2020
StatusActive
Sole proprietorYes
CredentialMPT,PCS
Practice address 10 MALL CT STE B
Savannah, GA 31406
(912) 713-0277
Fax (888) 429-3741
Other identifiers 739344620C (GA)
The last update on file is Jul 31, 2020. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1336352079 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 3 6 3 5 2 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 6 6 6 5 4 0 5

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1336352079?
NPI 1336352079 is the National Provider Identifier assigned to Thea Jack, MPT,PCS in Savannah, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pediatrics cover?
A 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 development, genetics, biomechanics, neurological function, neuroscience, and…
How do I contact Thea Jack, MPT,PCS?
The phone number on file with NPPES is (912) 713-0277, last updated Jul 31, 2020. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1336352079 a valid number?
Yes. 1336352079 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.