Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Blake Bruce Patrick Smith, DPT

Individual provider Physical Therapist · NPI 1487381828

Dr. Blake Bruce Patrick Smith, DPT is a Physical Therapist in Private Practice in Warrensburg, Missouri. Qualified in 2022, 4 years ago. Practices with Central Physical Rehabilitation and Sports Medicine, LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
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

407 E Russell Ave Ste 6
Warrensburg, MO 64093-1242
Phone: (660) 441-3683
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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 2022030942 (MO)

Record details

NPI number1487381828
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESAugust 5, 2022
Certification dateAugust 5, 2022
Mailing address407 E Russell Ave Ste 6, Warrensburg, MO 64093-1242

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Central Physical Rehabilitation And Sports Medicine, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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