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

Blake Hammond Petersen, DPT

Individual provider Physical Therapist · NPI 1063907129

Blake Hammond Petersen, DPT is a Physical Therapist in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
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

5400 N Oak Trfy Ste 103
Kansas City, MO 64118-4689
Phone: (816) 455-0301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2018022252 (MO)

Record details

NPI number1063907129
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 29, 2018
Last updated in NPPESJune 29, 2018

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