Individual provider Active NPI

John Robert Battle Jr., OTD, OTR/L

  • Occupational Therapist
  • Teaneck, NJ
National Provider Identifier
1184458911
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01158100 Issued in NJ
Practice address
1400 Palisade Ave
Teaneck, NJ 07666-3537
Phone
(201) 357-0417
NPI assigned
Aug 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR01158100 NJ Primary

Addresses

Primary practice location

1400 Palisade Ave
Teaneck, NJ 07666-3537

Mailing address

164 Prospect Ave
Dumont, NJ 07628-2740
Phone (201) 787-6592

Other names 1

  • Dr. Jack Robert Battle Jr. Other name

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

LicenseStateTypeSpecialty
46TR01158100NJMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1184458911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 PROSPECT AVE",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282740",
            "telephone_number": "201-787-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PALISADE AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663537",
            "telephone_number": "201-357-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01158100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "BATTLE",
            "middle_name": "ROBERT",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "OTD, OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.