Active NPI
Jeffrey Couch, OTR/L
- Physical Rehabilitation Occupational Therapist
- Glasgow, KY
National Provider Identifier
1205339256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 175128
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 175128 | KY | MD | Occupational 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.