Active NPI
Camille Waldon
- Physical Therapist
- Pell City, AL
National Provider Identifier
1780112854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4330
- Practice address
- 7054 Veterans Pkwy
Pell City, AL 35125-5117 - Phone
- (205) 227-7985
- Fax
- (205) 449-1559
- NPI assigned
- Jun 1, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 4330 | AL | Primary |
Addresses
Primary practice location
7054 Veterans Pkwy
Pell City, AL 35125-5117
Mailing address
4109 Highway 98 W
Summit, MS 39666-9132
Phone (601) 276-3911
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 |
|---|---|---|---|
| 4330 | AL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496275200000",
"number": "1780112854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4109 HIGHWAY 98 W",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396669132",
"telephone_number": "601-276-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7054 VETERANS PKWY",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351255117",
"telephone_number": "205-227-7985",
"fax_number": "205-449-1559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDON",
"first_name": "CAMILLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-01",
"last_updated": "2017-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "4330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pell City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.