Mckinley Odom, DPT
NPI 1629844089 · Physical Therapist · St Augustine, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mckinley Odom, DPT is a Physical Therapist provider in St Augustine, FL (NPI 1629844089).
Provider details
- NPI number
- 1629844089
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 12135 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
2 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
3,450 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 1,384 | $21 |
| Therapy Procedure Using Functional Activities97530 | 1,346 | $29 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 518 | $26 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 131 | $19 |
| Evaluation for Physical Therapy, Typically 30 Minutes97162 | 38 | $95 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 33 | $94 |
Practice location
Mailing address
Additional practice locations (1)
- 1525 Chapin RdChapin, SC 29036Phone: (803) 345-3811
Registry dates
- Enumerated
- 2023-11-28
- Last updated
- 2024-04-19
- Certified
- 2024-04-19
Frequently asked questions
- What is Mckinley Odom's NPI number?
- Mckinley Odom's National Provider Identifier (NPI) is 1629844089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mckinley Odom's specialty?
- Mckinley Odom is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mckinley Odom located?
- Mckinley Odom's practice location on file with NPPES is 1711 Lakeside Ave Ste 5, St Augustine, FL 32084-4103.
- What is Mckinley Odom's phone number?
- The practice phone number listed in the NPPES registry for Mckinley Odom is (904) 679-3449.
- Does Mckinley Odom accept Medicare?
- Mckinley Odom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mckinley Odom's NPI active?
- Yes — Mckinley Odom's NPI (1629844089) is active in the NPPES registry as of the last update on 2024-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.