Active NPI
Tiffany H Gouch, PHD
- Massage Therapist
- Montgomery, AL
National Provider Identifier
1174016471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5272
- Practice address
- 3576 Quad Pkwy
Montgomery, AL 36116-6750 - Phone
- (334) 333-1632
- Fax
- (334) 621-1842
- NPI assigned
- Jun 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Massage Therapist | 225700000X | 0019009724 | VA | |
| Massage Therapist | 225700000X | MT00040 | GA | |
| Massage Therapist | 225700000X | 5272 | AL | Primary |
| Reflexologist | 173C00000X |
Addresses
Primary practice location
3576 Quad Pkwy
Montgomery, AL 36116-6750
Mailing address
3576 Quad Pkwy
Montgomery, AL 36116-6750
Phone (334) 333-1632
Other practice location 1
155 Northcreek Blvd Apt B324
Goodlettsville, TN 37072-3047
Phone (334) 333-1632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT00040 | GA | MD | Massage Therapist |
| 0019009724 | VA | MD | Massage Therapist |
| 5272 | AL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Soul Wellness LLC | Massage Therapist | Current | Accepting new patients |
Locations
3576 Quad Pkwy
Montgomery, AL 36116
Phone (334) 333-1632
Organizations & group practices 1
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.
-
- Massage Therapist
- Montgomery, AL
- NPI 1982259180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760572800000",
"number": "1174016471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3576 QUAD PKWY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361166750",
"telephone_number": "334-333-1632",
"fax_number": "334-621-1842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3576 QUAD PKWY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361166750",
"telephone_number": "334-333-1632",
"fax_number": "334-621-1842"
}
],
"practiceLocations": [
{
"address_1": "155 Northcreek Blvd Apt B324",
"address_purpose": "LOCATION",
"city": "Goodlettsville",
"state": "TN",
"postal_code": "370723047",
"country_code": "US",
"telephone_number": "334-333-1632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOUCH",
"first_name": "TIFFANY",
"middle_name": "H",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "VA",
"license": "0019009724",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT00040",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AL",
"license": "5272",
"primary": true
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.