Active NPI
Jameel Mikal Moksa Battle, DPT, AT, DIPL. O.M.
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1598096125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017757
- Practice address
- 4010 Executive Park Dr Ste 135
Cincinnati, OH 45241-4013 - Phone
- (513) 742-2669
- Fax
- (513) 488-0523
- NPI assigned
- Jan 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 66.000066 | OH | |
| Athletic Trainer | 2255A2300X | |||
| Home Health Aide | 374U00000X | |||
| Physical Therapist | 225100000X | PT017757 | OH | Primary |
Addresses
Primary practice location
4010 Executive Park Dr Ste 135
Cincinnati, OH 45241-4013
Mailing address
PO Box 18337
Cincinnati, OH 45218-0337
Phone (513) 349-4665
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005429 | Medicaid | OH | |
| 0481352 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190827001376 | OH | Practitioner - Physical Therapist in Private Practice | 8123356342 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66.000066 | OH | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1598096125",
"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": "513-349-4665",
"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",
"fax_number": "513-488-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKSA BATTLE",
"first_name": "JAMEEL",
"middle_name": "MIKAL",
"name_prefix": "Mr.",
"credential": "DPT, AT, DIPL. O.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-21",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "OH",
"license": "66.000066",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT017757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005429",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0481352",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.