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

McKinley Odom, DPT

Individual provider Physical Therapist · NPI 1629844089

McKinley Odom, DPT is a Physical Therapist in Private Practice in St Augustine, Florida. Qualified in 2023, 3 years ago. Practices with Saint Augustine Rehabilitation Specialists LLC, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
3
Licensed in
SC
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1711 Lakeside Ave Ste 5
St Augustine, FL 32084-4103
Phone: (904) 679-3449
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1525 Chapin Rd, Chapin, SC 29036 — (803) 345-3811

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12135 (SC)

Record details

NPI number1629844089
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 28, 2023
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address828 Silverpoint Rd, Chapin, SC 29036-7963

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Saint Augustine Rehabilitation Specialists Llc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Augustine