KODY DEWAYNE MCGHEE (OT) – Occupational Therapist, NPI 1083368815

KODY DEWAYNE MCGHEE (OT) is a healthcare provider. based in Niceville, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OT. They hold a License No. OT22775 (FL). The NPI Number for KODY DEWAYNE MCGHEE (OT) is 1083368815

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KODY DEWAYNE MCGHEE (OT)
NPI
1083368815
Phone
(850) 897-3334
Address
1950 BLUEWATER BLVD STE 101
Enumeration Date
10 February 2022
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
25136891362412
Graduation Year
2021 (5 years ago)
PAC ID
9032503958
Group Practice PAC ID
9830188085
Professional Enrollment ID
I20250306001689
Address ID
AL365025190AT429XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for KODY DEWAYNE MCGHEE (OT)

  • 1950 BLUEWATER BLVD STE 101

    NICEVILLE, FL 325783888

    Phone: (850) 897-3334

    Fax: (850) 897-7855

    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: 2025-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220218000778IOccupational Therapist In Private PracticeFLTBD
I20250306001689IOccupational Therapist In Private PracticeTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,194124$0
97140Therapy procedure using manual technique, each 15 minutes1,781123$0
97150Therapy procedure in a group setting37190$0
97165Evaluation for occupational therapy, typically 30 minutes113108$0
97018Application of hot wax bath5411$0
View full utilization report →

Insurance plans in this area (ZIP 32578)

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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: 9830188085View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Qualified Speech Language PathologistAL
Nurse PractitionerFL
General Practice, Family PracticeFL
Physician AssistantAL
-AL
Physical Therapist In Private PracticeAL
-AL
-AL
Family PracticeAL

Reviews

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Frequently asked questions

How do payers reference KODY DEWAYNE MCGHEE (OT)?
For KODY DEWAYNE MCGHEE (OT), use NPI 1083368815 as the unique 10-digit identifier.
Active or inactive — what applies to KODY DEWAYNE MCGHEE (OT)?
You should see KODY DEWAYNE MCGHEE (OT) as active in CMS-hosted NPPES data.
How would a patient describe KODY DEWAYNE MCGHEE (OT)'s focus?
For KODY DEWAYNE MCGHEE (OT), the primary taxonomy reads as Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with KODY DEWAYNE MCGHEE (OT)?
Directory geography for KODY DEWAYNE MCGHEE (OT) centers on Niceville, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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