Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katlin R Couchman, OTD

Individual provider Occupational Therapist · NPI 1063037174

Katlin R Couchman, OTD is an Occupational Therapist in Private Practice in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Protailored Physical Therapy LLC, a 23-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

12722 Tonkel Rd Ste 102
Fort Wayne, IN 46845-8201
Phone: (260) 739-0300
Fax: (260) 818-2299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1063037174
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedJune 15, 2020
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Protailored Physical Therapy Llc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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