JOHN MARK KOUCHERAVY C PED
NPI 1699245365
Pedorthist in Rockville, MD

Active since November 26, 2018
1643 ROCKVILLE PIKE UNIT B, ROCKVILLE, MD 20852(301) 811-3121 Get Directions Write a Review

NPPES record last updated: November 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Mark Koucheravy C Ped NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN MARK KOUCHERAVY C PED (NPI 1699245365) is an individual pedorthist provider in Rockville, Maryland and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1699245365
Entity TypeIndividualMale
Primary Taxonomy224L00000X
Provider Legal NameJOHN MARK KOUCHERAVYCredential: C PED
Location Address1643 ROCKVILLE PIKE UNIT BRockville, MD 20852-7601
Mailing Address1621 Quail RunCharlottesville, VA 22911-9054
Sole ProprietorNo
Enumeration DateNovember 26, 2018
NPI 1699245365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224L00000X
Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

1643 ROCKVILLE PIKE UNIT B, Rockville, MD 20852

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
1643 ROCKVILLE PIKE UNIT B
ROCKVILLE, MD 20852

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Koucheravy's NPI number?

The NPI number for John Koucheravy is 1699245365. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is John Koucheravy located?

John Koucheravy practices at 1643 Rockville Pike Unit B, Rockville, MD 20852. The listed phone number is (301) 811-3121.

What is John Koucheravy's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for John Koucheravy was last updated on November 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.