Active NPI
Mallory Lauren Knauff, PTA
- Physical Therapy Assistant
- Atlanta, GA
National Provider Identifier
1568307684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA005491
- Practice address
- PO Box 536889
Atlanta, GA 30353-6889 - Phone
- (770) 513-0839
- Fax
- (770) 513-7850
- NPI assigned
- Apr 23, 2026
- Last updated
- Apr 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA005491 | GA | Primary |
Addresses
Primary practice location
PO Box 536889
Atlanta, GA 30353-6889
Mailing address
1000 Etowah Ferry Dr Apt 2311
Acworth, GA 30102-1812
Phone (770) 330-0114
Other practice location 1
4045 Johns Creek Pkwy Ste A
Suwanee, GA 30024-1218
Phone (678) 206-6061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA005491 | GA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physio-Gwinnett
- Physical Therapy Clinic/Center
- Lilburn, GA
- NPI 1760568257
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1568307684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 ETOWAH FERRY DR APT 2311",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301021812",
"telephone_number": "770-330-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 536889",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303536889",
"telephone_number": "770-513-0839",
"fax_number": "770-513-7850"
}
],
"practiceLocations": [
{
"address_1": "4045 Johns Creek Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Suwanee",
"state": "GA",
"postal_code": "300241218",
"country_code": "US",
"telephone_number": "678-206-6061",
"fax_number": "678-206-6064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNAUFF",
"first_name": "MALLORY",
"middle_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA005491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.