Healthcare Provider Details

I. General information

NPI: 1326953738
Provider Name (Legal Business Name): MICHAEL J LEONE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 JOE FRANK HARRIS PKWY SE STE C
CARTERSVILLE GA
30120-2430
US

IV. Provider business mailing address

14 CHERRYWOOD WAY
TAYLORSVILLE GA
30178-1181
US

V. Phone/Fax

Practice location:
  • Phone: 678-719-7000
  • Fax:
Mailing address:
  • Phone: 908-391-7727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018551
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: