Cameron Michael Picone, DPT, PT
Physical Therapist in Marietta, GA. Individual provider (NPI-1).
NPI number1114588779
StatusActive
Last updated in NPPESJun 25, 2019
Details
- NPI
- 1114588779
- Entity type
- Individual (NPI-1)
- Name
- Cameron Michael Picone
- Credential
- DPT, PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2019
- Last updated
- Jun 25, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT014003 | GA | Yes |
Practice location
1000 Johnson Ferry Rd Ste A115Marietta, GA 30068-2110
Phone 404-367-2085 · Fax 770-579-7060
Mailing address
Po Box 949Rome, GA 30162-0949
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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