Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake C Overmiller, DPT

Individual provider Physical Therapist · NPI 1336715747

Blake C Overmiller, DPT is a Physical Therapist in Private Practice in Leawood, Kansas. Qualified in 2021, 5 years ago. Practices with Phoenix Physical Therapy LLC, a 53-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

13420 Briar Dr Ste C
Leawood, KS 66209-3434
Phone: (913) 484-7632
Fax: (913) 808-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1336715747
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 27, 2021
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021
Mailing address13420 Briar Dr Ste C, Leawood, KS 66209-3434

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Phoenix Physical Therapy Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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