Individual provider Active NPI

Tiffany H Gouch, PHD

  • Massage Therapist
  • Montgomery, AL
National Provider Identifier
1174016471
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
5272 Issued in AL
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

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT00040GAMDMassage Therapist
0019009724VAMDMassage Therapist
5272ALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Soul Wellness LLC Massage Therapist CurrentSince Apr 20, 2021 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.

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.

Verify at the official NPI Registry.