KAITLIN RANDLE ODUBONA (PT) – Physical Therapist, NPI 1649804329
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX
Provider Addresses for KAITLIN RANDLE ODUBONA (PT)
417 HAZELTINE RD
RED OAK, TX 751542763
Phone: (337) 578-4543
Type: Mailing
3690 W WHEATLAND RD STE 100
DALLAS, TX 752373464
Phone: (972) 296-6645
Fax: (972) 296-4526
Type: Location
5415 Maple Ave Apt 332
Dallas, TX 752357495
Phone: (337) 578-4543
Type: Location
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone: (866) 370-8206
Fax: (517) 435-3670
Type: Mailing
5415 MAPLE AVE APT 332
DALLAS, TX 752357495
Phone: (337) 578-4543
Type: Location
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: 2020-03-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200330000791 | I | Physical Therapist In Private Practice | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 165 | 17 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 127 | 14 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 58 | 12 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 20 | 14 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 75154)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX | |
| Physical Therapist In Private Practice | TX |
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