Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Taylor J Mildenhall, MSPT

Individual provider Physical Therapist · NPI 1689961732

Mr. Taylor J Mildenhall, MSPT is a Physical Therapist in Private Practice in Watkinsville, Georgia. Graduated from Emory University School of Medicine in 2011, 15 years ago. Practices with Group Health Cooperative of South Central Wisconsin, a 234-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
15
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2011
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Practice location Address checks out

1741 Hog Mountain Rd Bldg 100
Watkinsville, GA 30677-1947
Phone: (706) 769-6261
Fax: (706) 769-6316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT010346 (GA)

Record details

NPI number1689961732
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedJuly 8, 2011
Last updated in NPPESJuly 8, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Group Health Cooperative Of South Central Wisconsin — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Watkinsville