KYLIE GAGNON RANDALL OT
NPI 1114428133
Occupational Therapist in Broadus, MT

Active since February 25, 2018Accepts Medicare Assignment
79.6/100
CMS Quality Rating
104 N TRAUTMAN AVE, BROADUS, MT 59317(406) 436-2646 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2021, Oct 23, 2019, Sep 24, 2019 and 1 more (4 updates tracked since 2018).

About Kylie Gagnon Randall Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE GAGNON RANDALL OT (NPI 1114428133) is an individual occupational therapist in Broadus, Montana and active in the NPI registry since February 2018. She maintains a secondary practice location in Bozeman and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114428133
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKYLIE GAGNON RANDALLCredential: OT
Location Address104 N TRAUTMAN AVEBroadus, MT 59317-7504
Mailing Address3400 Stucky RdBozeman, MT 59718-7557 · (406) 581-8300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 25, 2018
Last NPPES UpdateJune 15, 20214 updates tracked since enumeration
NPPES CertifiedJune 15, 2021
NPI 1114428133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
104 N TRAUTMAN AVE, Broadus, MT 59317

Other Names 1

Former Name (1)Kylie Ann Gagnon Ot

Secondary Practice Location 1

Location 11450 Ellis St Ste 201Bozeman, MT 59715-8813 · Phone (406) 556-9110

Other Identifiers 1

Other5456MT · Ot Licence

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kylie Gagnon Randall Ot is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840551719
PECOS Enrollment IDI20180312000319

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.43
Promoting Interoperability98
Improvement Activities40
Cost74.25

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
104 N TRAUTMAN AVE
BROADUS, MT 59317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylie Randall's NPI number?

The NPI number for Kylie Randall is 1114428133. It was assigned to this individual provider in the NPPES registry on February 25, 2018. The provider is also known as Kylie Ann Gagnon Ot.

Where is Kylie Randall located?

Kylie Randall practices at 104 N Trautman Ave, Broadus, MT 59317. The listed phone number is (406) 436-2646.

What is Kylie Randall's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Kylie Randall enrolled in Medicare?

Yes. Kylie Randall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kylie Randall accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Providence Health Plan list Kylie Randall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kylie Randall was last updated on June 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.