Individual provider Active NPI

Kristine M Couch, OTR

  • Occupational Therapist
  • Englewood, CO
National Provider Identifier
1427126853
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
AA249300 Issued in CO
Practice address
770 W Hampden Ave
Suite 300
Englewood, CO 80110-2121
Phone
(303) 618-5111
Fax
(303) 694-4204
NPI assigned
Dec 1, 2006
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X AA249300 CO Primary

Addresses

Primary practice location

770 W Hampden Ave
Suite 300
Englewood, CO 80110-2121

Mailing address

6963 S Olive Way
Centennial, CO 80112-1123
Phone (303) 618-5111

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
AA249300COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Industrial Rehabilitation & Evaluation Services Occupational Therapist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1427126853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6963 S OLIVE WAY",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121123",
            "telephone_number": "303-618-5111",
            "fax_number": "303-694-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HAMPDEN AVE",
            "address_2": "SUITE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102121",
            "telephone_number": "303-618-5111",
            "fax_number": "303-694-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "AA249300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.