MR. RANDIE MENDOZA OCOMEN (PT) – Physical Therapist, NPI 1508009895

MR. RANDIE MENDOZA OCOMEN (PT) is a healthcare provider. based in Bad axe, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501005670 (MI). The NPI Number for MR. RANDIE MENDOZA OCOMEN (PT) is 1508009895

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDIE MENDOZA OCOMEN (PT)
NPI
1508009895
Phone
(989) 553-5348
Address
110 E HURON AVE STE B
Enumeration Date
15 April 2009
Last Update Date
15 April 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9892692700
Graduation Year
2009 (17 years ago)
PAC ID
3577612084
Group Practice PAC ID
2163571670
Professional Enrollment ID
I20090513000417
Address ID
MI484131177BA128XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MR. RANDIE MENDOZA OCOMEN (PT)

  • 110 E HURON AVE STE B

    BAD AXE, MI 484131313

    Phone: (989) 553-5348

    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: 2009-05-13

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
I20090513000417IPhysical Therapist In Private PracticeMITBD

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 minutes2,58273$0
97140Therapy procedure using manual technique, each 15 minutes1,47667$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes81659$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care79054$0
97035Application of ultrasound, each 15 minutes12614$0
View full utilization report →

Insurance plans in this area (ZIP 48413)

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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: 2163571670View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do payers reference MR. RANDIE MENDOZA OCOMEN (PT)?
For MR. RANDIE MENDOZA OCOMEN (PT), use NPI 1508009895 as the unique 10-digit identifier.
Active or inactive — what applies to MR. RANDIE MENDOZA OCOMEN (PT)?
You should see MR. RANDIE MENDOZA OCOMEN (PT) as active in CMS-hosted NPPES data.
How would a patient describe MR. RANDIE MENDOZA OCOMEN (PT)'s focus?
For MR. RANDIE MENDOZA OCOMEN (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. RANDIE MENDOZA OCOMEN (PT) associated with Bad Axe?
Public fields place MR. RANDIE MENDOZA OCOMEN (PT) around Bad Axe, Michigan. Always confirm the exact site before visiting.
Does MR. RANDIE MENDOZA OCOMEN (PT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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