Kylie Gagnon Randall, OT
NPI 1114428133ActiveIndividual· Occupational Therapist· Broadus, MT
Occupational Therapist (OT) with Powder River County, practicing in Broadus, Montana. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1114428133 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT |
| Sole proprietor | No |
| NPI issued | Feb 25, 2018 |
| Last updated in NPPES | Jun 15, 2021 |
| Certified by provider | Jun 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MT) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Powder River CountyBroadus, MT · 5 clinicians