Kaitlyn Rose Couillard, PTA
NPI 1174289938ActiveIndividual· Physical Therapy Assistant· Marinette, WI
Physical Therapy Assistant (PTA) in Marinette, Wisconsin, licensed in WI and MI, with an NPI issued in November 2021.
Overview
| NPI | 1174289938 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | Yes |
| NPI issued | Nov 16, 2021 |
| Last updated in NPPES | Oct 17, 2024 |
| Certified by provider | Oct 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 3203 | WI |
| Physical Therapy Assistant | 225200000X | 5502007910 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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