CAMERON RAY COLLUM – Physical Therapist, NPI 1215650924

CAMERON RAY COLLUM is a healthcare provider. based in Richwood, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT016463 (OH). The NPI Number for CAMERON RAY COLLUM is 1215650924

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
CAMERON RAY COLLUM
NPI
1215650924
Phone
Not provided
Address
13975 GRAHAM JONES RD
Enumeration Date
19 September 2022
Last Update Date
19 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6147840400
Graduation Year
2016 (10 years ago)
PAC ID
0143697714
Group Practice PAC ID
6204248784
Professional Enrollment ID
I20221110002895
Address ID
OH430854065WO965XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for CAMERON RAY COLLUM

  • 13975 GRAHAM JONES RD

    RICHWOOD, OH 433449202

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221110002895IPhysical Therapist In Private PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43344)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204248784View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Occupational Therapist In Private PracticeOH

Reviews

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Frequently asked questions

How do payers reference CAMERON RAY COLLUM?
For CAMERON RAY COLLUM, use NPI 1215650924 as the unique 10-digit identifier.
Is there an active status for CAMERON RAY COLLUM?
For scheduling context, CAMERON RAY COLLUM is shown as active in the registry.
What expertise is attributed to CAMERON RAY COLLUM?
CAMERON RAY COLLUM's specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Ohio is CAMERON RAY COLLUM registered?
Use Richwood, Ohio as the headline location for CAMERON RAY COLLUM here.
When was this NPI issued?
Enumeration for CAMERON RAY COLLUM is noted as September 19, 2022 where the registry provides it.

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