Individual provider Active NPI

Zachary Couch

  • Orthopedic Physical Therapist
  • Dallas, TX
National Provider Identifier
1619085248
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
1145639 Issued in TX
Practice address
5925 Forest LN Ste 101
Dallas, TX 75230-2785
Phone
(214) 758-0038
Fax
(214) 382-9048
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Orthopedic Physical Therapist 2251X0800X 1145639 TX Primary

Addresses

Primary practice location

5925 Forest LN Ste 101
Dallas, TX 75230-2785

Mailing address

5925 Forest LN Ste 101
Dallas, TX 75230-2785
Phone (214) 758-0038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000608 TX Practitioner - Physical Therapist in Private Practice 4385798263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Couch Physical TherapyGroup PAC ID 6608259593, 2 clinicians

Practice addresses (Care Compare)

5925 Forest LN
Suite 101
Dallas, TX 75230-2785
Phone (214) 758-0038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1145639TXMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Aug 1, 2013 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Aug 1, 2013 Accepting new patients
Couch Physical Therapy CurrentSince Jun 21, 2022 Accepting new patients

Locations

11909 Preston Rd
Ste 1482
Dallas, TX 75230
Phone (214) 446-1601

5925 Forest Ln
Ste 101
Dallas, TX 75230
Phone (214) 758-0038

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1619085248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302785",
            "telephone_number": "214-758-0038",
            "fax_number": "214-382-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 FOREST LN STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302785",
            "telephone_number": "214-758-0038",
            "fax_number": "214-382-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1145639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.