Jeffrey R Battiste, MPT
Individual provider Active NPI Physical Therapist · Derby, KS
NPI 1669484200 · NPPES record last updated Nov 16, 2015
Key facts
- NPI
- 1669484200
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-04742 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3924 | OK | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Via Christi Rehabilitation Hospital, Inc. | Physical Therapist | Current |
Accepting new patients |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Physical Therapist | Current |
Accepting new patients |
| Via Christi Rehabilitation Hospital, Inc | Physical Therapist | Past | Accepting new patients |
| Physical Therapy Services of Bartlesville Inc | Physical Therapist | Past |
Accepting new patients |
| Ascension Via Christi Rehabilitation Hospital, Inc. | Past | 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
1947 N Founders Cir
Wichita, KS 67206
Phone (316) 613-4640
1151 N Rock Rd
Wichita, KS 67206
Phone (316) 634-3400
Interoperability endpoints
- https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04742 | KS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669484200 | Other | KS | MEDICARE NPI |
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.