Integrative Health and Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATIVE HEALTH AND SPORTS MEDICINE

Practice address

4010 Executive Park Dr Ste 135
Cincinnati, OH 45241-4013

Phone

(513) 742-2669

NPI assigned

Jun 23, 2018

Organization subpart

No

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

Authorized official

Name

Jameel Mikal Moksa Battle, PT, AT, DIPL. OM

Title

Director

Phone

(513) 349-4665

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1477048320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18337",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452180337",
            "telephone_number": "513-742-2669",
            "fax_number": "513-488-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 EXECUTIVE PARK DR STE 135",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452414013",
            "telephone_number": "513-742-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH AND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-23",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "MOKSA BATTLE",
        "authorized_official_first_name": "JAMEEL",
        "authorized_official_middle_name": "MIKAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "513-349-4665",
        "authorized_official_credential": "PT, AT, DIPL. OM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.