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

Dr. Johnathon Blake, MD, MHSA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1487040002

Dr. Johnathon Blake, MD, MHSA is a Physical Medicine and Rehabilitation in Overland Park, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2015, 11 years ago. Practices with Partners in Rehab Medicine, a 5-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Kansas and Missouri.

Years since qualifying
11
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
KS, MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10985 Cody St Ste 115
Overland Park, KS 66210-1224
Phone: (816) 444-1777
Fax: (816) 333-3277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1201 W 12th Ave, Emporia, KS 66801-2504 — (620) 343-6800
  • 6265 Rock Chalk Dr, Lawrence, KS 66049-5232 — (816) 444-1777
  • 5721 W 119th St, Overland Park, KS 66209-3722 — (816) 444-1777
  • 2316 E Meyer Blvd, Kansas City, MO 64132-1136 — (816) 444-1777

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 04-42530 (KS)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2019034662 (MO)

Record details

NPI number1487040002
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MHSA
Sole proprietorNo
NPI enumeratedApril 9, 2015
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address10985 Cody St Ste 115, Overland Park, KS 66210-1224

Medicare enrollment

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

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2015 (11 years in practice)
Group practice Partners In Rehab Medicine — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Overland Park