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

Blake Peterson, PT, DPT

Individual provider Physical Therapist · NPI 1033780366

Blake Peterson, PT, DPT is a Physical Therapist in Private Practice in Raymore, Missouri. Qualified in 2021, 5 years ago. Practices with Rehab Specialists Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
5
Licensed in
KS, MO
In the registry since
2021
Specialties on file
2
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

820 W Foxwood Dr
Raymore, MO 64083-9195
Phone: (816) 318-8109
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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 2021026428 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-06836 (KS)

Record details

NPI number1033780366
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021
Mailing address820 W Foxwood Dr, Raymore, MO 64083-9195

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 Rehab Specialists Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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