Organization Active NPI

Couch Physical Therapy and Rehabilitation Center

  • Physical Therapist
  • Mount Pleasant, TX
National Provider Identifier
1174550420
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COUCH PHYSICAL THERAPY AND REHABILITATION CENTER
Practice address
107 W 20TH St
Mt Pleasant, TX 75455-2323
Phone
(903) 572-3583
Fax
(903) 572-8199
NPI assigned
Jun 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald Lloyd Couch, P.T.
Title
Owner/Administrator
Phone
(903) 572-3583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

107 W 20TH St
Mt Pleasant, TX 75455-2323

Mailing address

107 W 20TH St
Mt Pleasant, TX 75455-2323
Phone (903) 572-3583

Other identifiers 4

IdentifierTypeStateIssuer
456667OtherTXOTHER
5958425OtherTXAETNA
650267OtherTXBLUE CROSS/BLUE SHIELD
PT1000396OtherTXWORKERS' COMPENSATION

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174550420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 20TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552323",
            "telephone_number": "903-572-3583",
            "fax_number": "903-572-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 20TH ST",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552323",
            "telephone_number": "903-572-3583",
            "fax_number": "903-572-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUCH PHYSICAL THERAPY AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-572-3583",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "456667",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5958425",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "650267",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "PT1000396",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.