Active NPI
Tracy Kilian Battle, PTA
- Physical Therapy Assistant
- Palm Bay, FL
National Provider Identifier
1033458310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 14032
- Practice address
- 171 Aviation Ave NE
Palm Bay, FL 32907-3022 - Phone
- (321) 506-9188
- NPI assigned
- Feb 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 14032 | FL | Primary |
Addresses
Primary practice location
171 Aviation Ave NE
Palm Bay, FL 32907-3022
Mailing address
171 Aviation Ave NE
Palm Bay, FL 32907-3022
Phone (321) 506-9188
Other names 1
- Mr. Tracy Kilian Battle
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14032 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1033458310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 AVIATION AVE NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073022",
"telephone_number": "321-506-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 AVIATION AVE NE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329073022",
"telephone_number": "321-506-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTLE",
"first_name": "TRACY",
"middle_name": "KILIAN",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-07",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "14032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "BATTLE",
"middle_name": "KILIAN",
"prefix": "MR.",
"credential": "PTA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Palm Bay, FL
- Nenar Barazi, DMD
- Luis J Barral
- Mary Rose Baes Barrios-Banal, M.D.
- Barton House of Brevard, Inc.
- Rahila Amjad Bashir, LMHC
- H Robert Bauman II, D.V.M.
- Bayside Dental Care LLC
- Bayside Family Counseling LLC
- Bayside Lakes Pharmacy LLC (Bayside Lakes Family Pharmacy)
- Bayside Recovery and Wellness Center LLC (Bayside Recoery and Wellness Center LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.