Active NPI
Cameron Michael Picone, DPT, PT
- Physical Therapist
- Marietta, GA
National Provider Identifier
1114588779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014003
- Practice address
- 1000 Johnson Ferry Rd Ste A115
Marietta, GA 30068-2110 - Phone
- (404) 367-2085
- Fax
- (770) 579-7060
- NPI assigned
- Jun 25, 2019
- Sex
- Male
- 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 Therapist | 225100000X | PT014003 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd Ste A115
Marietta, GA 30068-2110
Mailing address
PO Box 949
Rome, GA 30162-0949
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1114588779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD STE A115",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682110",
"telephone_number": "404-367-2085",
"fax_number": "770-579-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICONE",
"first_name": "CAMERON",
"middle_name": "MICHAEL",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-25",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.