Kaitlen Coutinho, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2601 N Aspen Ave
Broken Arrow, OK 74012-1373

Phone

(918) 486-9977

Fax

(539) 777-2529

NPI assigned

Jun 14, 2021

Last updated

Jun 25, 2025By the provider in NPPES

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

Other names 1

• Kaitlen Goddard Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. Whitney M. Ellsworth, DPT, PLLCGroup PAC ID 5193134351, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Whitney M. Ellsworth, DPT, PLLC

  dba Balanced Pelvic Health & Physical Therapy

  • Orthopedic Physical Therapist
  • Broken Arrow, OK
  • NPI 1437761590
  Medicare reassignment Care Compare group NPD
• Thrive Chiropractic Clinic, LLC

  • Chiropractor
  • Tulsa, OK
  • NPI 1801271119
  NPD
• Arrow Physical Therapy Limited Partnership

  dba Broken Arrow Physical Therapy

  • Physical Therapy Clinic/Center
  • Broken Arrow, OK
  • NPI 1114933561

  Physical Therapist

  NPD (past)
• Arrow Physical Therapy Limited Partnership

  dba Broken Arrow Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Broken Arrow, OK
  • NPI 1578778353
  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1316515604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127924",
            "telephone_number": "918-449-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121373",
            "telephone_number": "918-486-9977",
            "fax_number": "539-777-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUTINHO",
        "first_name": "KAITLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLEN",
            "last_name": "GODDARD",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Joy Cory
• Lauren Cosby
• Megan Cotter
• Amanda Lyn Couch, M.A., BCBA
• Sarah Michelle Couch
• Covenant Home Healthcare (Covenant Home Care)
• Tifina Cowan
• Jeffery Gambill Cowen, M.S. SLP-CCC
• Cox Building Company, Inc. (Senior Suites Healthcare)
• Heather Cozad, OTR/L

• Physical Therapist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.