Kelly Gene Randolph, PT - Physical Therapist in Cody, WY

Kelly Gene Randolph, PT is a Physical Therapist based in Cody, Wyoming. Kelly Gene Randolph is licensed to practice in Wyoming (license number PT-1256) and his current practice location is 1726 Beck Ave, Cody, Wyoming. He can be reached at his office (for appointments etc.) via phone at (307) 587-9866.

NPI number for Kelly Gene Randolph is 1447401104 and his current mailing address is 1726 Beck Ave, Cody, Wyoming. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447401104.

Contact Information

Kelly Gene Randolph, PT
1726 Beck Ave,
Cody, WY 82414-3925
(307) 587-9866
(307) 587-9867



Healthcare Provider's Profile

Full NameKelly Gene Randolph
GenderMale
SpecialityPhysical Therapist
Location1726 Beck Ave, Cody, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447401104
  • Provider Enumeration Date: 09/30/2008
  • Last Update Date: 09/30/2008

Medical Identifiers

Medical identifiers for Kelly Gene Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447401104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-1256 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Gene Randolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Gene Randolph, PT
1726 Beck Ave,
Cody, WY 82414-3925

Ph: (307) 587-9866
Kelly Gene Randolph, PT
1726 Beck Ave,
Cody, WY 82414-3925

Ph: (307) 587-9866

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› Verified 7 days ago


Physical Therapist in Cody, WY

Nia Marie Torres, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2456 Carter Ave, Cody, WY 82414
Phone: 575-779-5895    
Kristen Michelle Goldberg, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 544 Yellowstone Ave, Cody, WY 82414
Phone: 307-587-9789    Fax: 307-587-9787
Lori Grubbs Swanton, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Sheridan Ave Ste 210, Cody, WY 82414
Phone: 307-213-9595    Fax: 307-939-2249
Timothy P Stecker, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 720 Lindsay Ln, Cody, WY 82414
Phone: 307-578-1970    Fax: 307-578-1973
Gail Ann Mills, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 702 Platinum Dr, Cody, WY 82414
Phone: 307-578-7883    Fax: 307-586-2350
Lacy Martin,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 544 Yellowstone Ave, Cody, WY 82414
Phone: 307-587-9789    Fax: 307-587-9787
Adam K Johnnidis, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 720 Lindsay Ln, Cody, WY 82414
Phone: 307-578-1970    

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