Kaitlyn Ouillette-Harrington, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019142 Issued in MI

Practice address

2524 W Wackerly St
Midland, MI 48640-6921

Phone

(989) 423-1240

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Bay City, MI
  • NPI 1942829064
  Medicare reassignment NPD
• Renue 018 Tawas, LLC

  • Physical Therapy Clinic/Center
  • Tawas City, MI
  • NPI 1790452043
  Medicare reassignment
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1215595293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N WATER ST",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085620",
            "telephone_number": "989-450-3341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 W WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486406921",
            "telephone_number": "989-423-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Wilder Rd",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062482",
            "country_code": "US",
            "telephone_number": "989-402-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUILLETTE-HARRINGTON",
        "first_name": "KAITLYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Ostahowski, M.D.
• Michele Lynn Ostahowski
• Jodi Ann Ott
• Henry Stuart Otto III, PT
• Janine M Ouderkirk, LMSW
• Alisha Ouillette
• Melissa Ousterhout, RPH
• Kelli Overway, APRN, FNP-BC
• Rochelle J Owczarzak, LMSW
• Brooke Katherine Owens VII

• Physical Therapist in Midland, MI
• Providers in Midland, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.