Active NPI
Kevin John Battaglia
- Rehabilitation Practitioner
- Pahrump, NV
National Provider Identifier
1508110404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- B08324337107612
- Practice address
- 3170 S Blagg Rd
621 S.Blagg
Pahrump, NV 89048-5493 - Phone
- (774) 228-1201
- NPI assigned
- Oct 31, 2012
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | B08324337107612 | NJ | Primary |
Addresses
Primary practice location
3170 S Blagg Rd
621 S.Blagg
Pahrump, NV 89048-5493
Mailing address
3170 S Blagg Rd
621 S.Blagg
Pahrump, NV 89048-5493
Phone (774) 228-1201
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 |
|---|---|---|---|
| B08324337107612 | NJ | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1508110404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 S BLAGG RD",
"address_2": "621 S.BLAGG",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890485493",
"telephone_number": "774-228-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3170 S BLAGG RD",
"address_2": "621 S.BLAGG",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890485493",
"telephone_number": "774-228-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATTAGLIA",
"first_name": "KEVIN",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NJ",
"license": "B08324337107612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.