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

Blake Edwards, PT, DPT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1164197406

Blake Edwards, PT, DPT is a Physical Medicine & Rehabilitation Physician in Independence, Missouri. Licensed in Missouri. Registered with an NPI since 2021.

Licensed in
MO
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3801 Selsa Rd Ste 7
Independence, MO 64057-1712
Phone: (816) 795-0434
Fax: (816) 795-0482
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Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 2021031365 (MO)

Record details

NPI number1164197406
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESAugust 10, 2021
Certification dateAugust 10, 2021
Mailing address3801 Selsa Rd Ste 7, Independence, MO 64057-1712

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