Lamont Jack, PTA
NPI 1154979193 · Physical Therapy Assistant · Tucker, GA
Lamont Jack, PTA is a Physical Therapy Assistant provider in Tucker, GA (NPI 1154979193).
Provider details
- NPI number
- 1154979193
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA002207 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-09-03
- Last updated
- 2019-09-03
Frequently asked questions
- What is Lamont Jack's NPI number?
- Lamont Jack's National Provider Identifier (NPI) is 1154979193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lamont Jack's specialty?
- Lamont Jack is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Lamont Jack located?
- Lamont Jack's practice location on file with NPPES is 3888 Lavista Rd, Tucker, GA 30084-5142.
- What is Lamont Jack's phone number?
- The practice phone number listed in the NPPES registry for Lamont Jack is (770) 938-5740.
- Is Lamont Jack's NPI active?
- Yes — Lamont Jack's NPI (1154979193) is active in the NPPES registry as of the last update on 2019-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.