Active NPI
Madeleine Couch, CMT
- Massage Therapist
- San Luis Obispo, CA
National Provider Identifier
1285031740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 86222
- Practice address
- 1107 Johnson Ave
San Luis Obispo, CA 93401-3303 - Phone
- (805) 900-7154
- NPI assigned
- Nov 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 86222 | CA | Primary |
Addresses
Primary practice location
1107 Johnson Ave
San Luis Obispo, CA 93401-3303
Mailing address
485 Jamaica St
Morro Bay, CA 93442-1307
Phone (805) 900-7154
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 |
|---|---|---|---|
| 86222 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705968000000",
"number": "1285031740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 JAMAICA ST",
"city": "MORRO BAY",
"state": "CA",
"postal_code": "934421307",
"telephone_number": "805-900-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 JOHNSON AVE",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934013303",
"telephone_number": "805-900-7154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "MADELEINE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-28",
"last_updated": "2024-01-23",
"certification_date": "2024-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "86222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.