KAITLIN RANDLE ODUBONA PT
NPI 1649804329
Physical Therapist in Dallas, TX
About Kaitlin Randle Odubona Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN RANDLE ODUBONA PT (NPI 1649804329) is an individual physical therapist in Dallas, Texas, licensed in Texas (1329161) and active in the NPI registry since March 2020. She maintains a secondary practice location in Dallas and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kaitlin Randle Odubona Pt 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kaitlin Randle Odubona reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75237
- Reassigned Medicare billing, Texas enrollment
- 30 clinicians in this Medicare group
Irving, TX 75062
- Reassigned Medicare billing, Texas enrollment
- 80 clinicians in this Medicare group
Southlake, TX 76092
- Reassigned Medicare billing, Texas enrollment
- 474 clinicians in this Medicare group
Plano, TX 75093
- Reassigned Medicare billing, Texas enrollment
- 561 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kaitlin Randle Odubona's NPI number?
The NPI number for Kaitlin Randle Odubona is 1649804329. It was assigned to this individual provider in the NPPES registry on March 3, 2020.
Where is Kaitlin Randle Odubona located?
Kaitlin Randle Odubona practices at 3690 W Wheatland Rd Ste 100, Dallas, TX 75237. The listed phone number is (972) 296-6645.
What is Kaitlin Randle Odubona's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Kaitlin Randle Odubona enrolled in Medicare?
Yes. Kaitlin Randle Odubona 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.
Which organizations bill Medicare for Kaitlin Randle Odubona's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlin Randle Odubona reassigns Medicare benefits to 4 organizations: Crossroads Physical Therapy Limited Partnership (Dallas, TX), Doctx3 PLLC (Irving, TX), Texas Luna Care Physical Therapy LLC (Southlake, TX) and Ideal Physical Therapy Of Texas LLC (Plano, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlin Randle Odubona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kaitlin Randle Odubona accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Kaitlin Randle Odubona 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 Kaitlin Randle Odubona was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaitlin Randle Odubona, PT · NPI 1649804329
Physical Therapist provider in Dallas, Texas. Individual provider, active in the CMS NPPES registry since March 3, 2020.
## Identity
- **NPI:** 1649804329 (Entity type: Individual)
- **Enumerated:** March 3, 2020
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 1329161 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3690 W WHEATLAND RD STE 100, Dallas, TX 75237-3464
- **Phone:** (972) 296-6645 · **Fax:** (972) 296-4526
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Crossroads Physical Therapy Limited Partnership (NPI 1558306399, Dallas, TX); Doctx3 PLLC (NPI 1467808618, Irving, TX); Texas Luna Care Physical Therapy LLC (NPI 1790309656, Southlake, TX); Ideal Physical Therapy Of Texas LLC (NPI 1538573746, Plano, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1649804329) · Data from the CMS NPPES public registry.