Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin Randle Odubona, PT

Individual provider Physical Therapist · NPI 1649804329

Kaitlin Randle Odubona, PT is a Physical Therapist in Private Practice in Dallas, Texas. Qualified in 2019, 7 years ago. Practices with Texas Luna Care Physical Therapy LLC, a 267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3690 W Wheatland Rd Ste 100
Dallas, TX 75237-3464
Phone: (972) 296-6645
Fax: (972) 296-4526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5415 Maple Ave Apt 332, Dallas, TX 75235-7495 — (337) 578-4543

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1329161 (TX)

Record details

NPI number1649804329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESOctober 21, 2024
Certification dateOctober 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Texas Luna Care Physical Therapy Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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