P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth Mynatt, PT

Physical Medicine & Rehabilitation·Tucker, GA· NPI 1245754456 · Enumerated 2017 · 8 years on NPI
Mynatt is 1 of 3 physical medicine & rehabilitation providers in Tucker and 1 of 489 in Georgia.
NPI age
8 years
Enumerated 2017-07-29
Primary specialty
Physical Medicine & Rehabilitation
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-07-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 489 active physical medicine & rehabilitation providers in Georgia.

NPI age
8 years
↓ 6 yr below median (14 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Practice location
1459 Montreal Rd Ste 304
Tucker, GA 300846920
📞 4042513420
Mailing address
1459 Montreal Rd Ste 304
Tucker, GA 300846920

Specialties

  • Physical Medicine & Rehabilitation Primary
    Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
    GA license #PT013026 taxonomy 208100000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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