Individual provider Active NPI

Mark Couch, DPT

  • Physical Therapist
  • Ammon, ID
National Provider Identifier
1861064198
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7329 Issued in ID
Practice address
939 S 25TH E Ste 104
Ammon, ID 83406-5735
Phone
(208) 715-8504
Fax
(208) 715-8505
NPI assigned
Jul 15, 2021
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7329 ID Primary

Addresses

Primary practice location

939 S 25TH E Ste 104
Ammon, ID 83406-5735

Mailing address

939 S 25TH E Ste 104
Ammon, ID 83406-5735
Phone (208) 715-8504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824001815 ID Practitioner - Physical Therapist in Private Practice 6709281132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rally to Rise Physical Therapy PLLCGroup PAC ID 1052848710, 2 clinicians

Practice addresses (Care Compare)

939 S 25TH
Suite 104
Ammon, ID 83406-5735
Phone (208) 201-2757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7329IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rally to Rise Physical Therapy PLLC Physical Therapist CurrentSince Jun 6, 2025 Accepting new patients
Fremont Physical Therapy PLLC Physical Therapist PastSince Dec 21, 2025 Accepting new patients
Mountain View Hospital LLC PastSince Jul 1, 2021 Accepting new patients

Locations

939 S 25th E
Ste 104
Ammon, ID 83406
Phone (208) 201-2757

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, 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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1861064198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 S 25TH E STE 104",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065735",
            "telephone_number": "208-715-8504",
            "fax_number": "208-715-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 S 25TH E STE 104",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834065735",
            "telephone_number": "208-715-8504",
            "fax_number": "208-715-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCH",
        "first_name": "MARK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT7329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.