Courtney Mynatt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6396 Issued in OK

Practice address

4008 S Yale Ave
Tulsa, OK 74135-6017

Phone

(918) 622-4278

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Courtney Gard Former name

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Origin Physical Therapy FL PLLC

  • Physical Therapist
  • Austin, TX
  • NPI 1477220861
  Medicare reassignment Care Compare group NPD
• Redbud Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Tulsa, OK
  • NPI 1710437306

  Physical Therapist

  Medicare reassignment NPD
• PT Care Specialists LLC

  • Physical Therapy Clinic/Center
  • Richmond, TX
  • NPI 1396319836

  Physical Therapist

  Medicare reassignment NPD
• Redbud Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Skiatook, OK
  • NPI 1730831868
  NPD
• Physical Therapy Care PC

  • Physical Therapy Clinic/Center
  • Richmond, TX
  • NPI 1952379760
  NPD
• Sullivan Physical Therapy LLC

  • Physical Therapist
  • Austin, TX
  • NPI 1437377199
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1275222960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741054407",
            "telephone_number": "620-778-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356017",
            "telephone_number": "918-622-4278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741054563",
            "country_code": "US",
            "telephone_number": "918-794-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYNATT",
        "first_name": "COURTNEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "GARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan S. Myers, LPC
• Samantha Joellen Myers, APRN
• Shauntaya Myers, LPN
• Stephanie Myers
• Stephanie Myhre
• Tamera Ann Myre, LCSW
• Myron E. Katz, DMD, MSD, Inc
• N R F Inc
• N/a
• N2Med Supplies, LLC

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.