Active NPI
Brandon Kenneth Mahone, DPT
- Physical Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018066
- Practice address
- 620 Cherokee St NE Ste 300
Marietta, GA 30060-7233 - Phone
- (770) 635-1812
- NPI assigned
- Oct 7, 2025
- 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 | PT018066 | GA | Primary |
Addresses
Primary practice location
620 Cherokee St NE Ste 300
Marietta, GA 30060-7233
Mailing address
3100 Interstate North Cir SE Ste 500
Atlanta, GA 30339-2296
Phone (678) 996-7230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT018066 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Cherokee St NE
Suite 300
Marietta, GA 30060-7202
Phone (770) 635-1812
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT018066 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthoatlanta, LLC | Current | Accepting new patients | |
| Piedmont Orthopedics, LLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Current | Accepting new patients | |
| Orthoatlanta, LLC | Past | Accepting new patients |
Locations
3100 Interstate North Cir SE
Ste 500
Atlanta, GA 30339
Phone (770) 953-6929
1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771
620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812
Interoperability endpoints
- https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1982579108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 INTERSTATE NORTH CIR SE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392296",
"telephone_number": "678-996-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CHEROKEE ST NE STE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607233",
"telephone_number": "770-635-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONE",
"first_name": "BRANDON",
"middle_name": "KENNETH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT018066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PT018066",
"state": "GA"
}
],
"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 Oct 7, 2025; 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.