Individual provider Active NPI

Jeffrey Couch, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Glasgow, KY
National Provider Identifier
1205339256
Registry record updated Dec 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
175128 Issued in KY
Practice address
300 Westwood St
Glasgow, KY 42141-1030
Phone
(270) 651-9131
NPI assigned
Mar 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 175128 KY
Physical Rehabilitation Occupational Therapist 225XP0019X 175128 KY Primary

Addresses

Primary practice location

300 Westwood St
Glasgow, KY 42141-1030

Mailing address

300 Westwood St
Glasgow, KY 42141-1030

Other practice location 1

1002 Glenview Dr
Glasgow, KY 42141-3424
Phone (270) 651-8332

Other practice location 2

220 Westwood St
Glasgow, KY 42141-1028
Phone (270) 651-3499

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

State licenses

LicenseStateTypeSpecialty
175128KYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1205339256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WESTWOOD ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WESTWOOD ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411030",
            "telephone_number": "270-651-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1002 Glenview Dr",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413424",
            "country_code": "US",
            "telephone_number": "270-651-8332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Westwood St",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421411028",
            "country_code": "US",
            "telephone_number": "270-651-3499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUCH",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "175128",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "KY",
            "license": "175128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2018; 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.