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

Kylie Gagnon Randall, OT

Individual provider Occupational Therapist · NPI 1114428133

Kylie Gagnon Randall, OT is an Occupational Therapist in Private Practice in Broadus, Montana. Qualified in 2017, 9 years ago. Practices with Powder River County, a 5-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

See every abbreviation used in this directory →

Practice location Address checks out

104 N Trautman Ave
Broadus, MT 59317-7504
Phone: (406) 436-2646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1450 Ellis St Ste 201, Bozeman, MT 59715-8813 — (406) 556-9110

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1114428133
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedFebruary 25, 2018
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Powder River County — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount