Individual provider Active NPI

Jeffrey R Battiste, MPT

  • Physical Therapist
  • Derby, KS
National Provider Identifier
1669484200
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04742 Issued in KS
Practice address
1410 N Woodlawn Blvd
Suite E
Derby, KS 67037-2953
Phone
(316) 462-7420
Fax
(316) 788-1754
NPI assigned
Aug 12, 2006
Last updated
Nov 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-04742 KS Primary

Addresses

Primary practice location

1410 N Woodlawn Blvd
Suite E
Derby, KS 67037-2953

Mailing address

1410 N Woodlawn Blvd Ste E
Derby, KS 67037-2954
Phone (316) 462-7420

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-04742KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Via Christi Rehabilitation Hospital, Inc. Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Ascension Via Christi Rehabilitation Hospital, Inc. Past Accepting new patients
Via Christi Rehabilitation Hospital, Inc Physical Therapist Past Accepting new patients
Physical Therapy Services of Bartlesville Inc Physical Therapist PastSince Sep 13, 1995 Accepting new patients

Locations

1410 N Woodlawn Blvd
Ste E
Derby, KS 67037
Phone (316) 462-7420

1640 E Tall Tree Rd
#200
Derby, KS 67037
Phone (316) 651-2380

1151 N Rock Rd
Wichita, KS 67206
Phone (316) 634-3400

1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1669484200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD STE E",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372954",
            "telephone_number": "316-462-7420",
            "fax_number": "316-788-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD",
            "address_2": "SUITE E",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372953",
            "telephone_number": "316-462-7420",
            "fax_number": "316-788-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTISTE",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.