DR. STEPHANIE DANIELLE BLAKE DPT
NPI 1003124769
Physical Therapist - Geriatrics in Andover, KS

Active since September 15, 2010
621 W 21ST ST, ANDOVER, KS 67002(316) 733-1349 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Stephanie Danielle Blake Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE DANIELLE BLAKE DPT (NPI 1003124769) is an individual geriatrics provider in Andover, Kansas, licensed in Kansas (11-04112) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1003124769
Entity TypeIndividualFemale
Primary Taxonomy2251G0304X
Provider Legal NameDR. STEPHANIE DANIELLE BLAKECredential: DPT
Location Address621 W 21ST STAndover, KS 67002-8498
Mailing Address4141 Danbury StBel Aire, KS 67220-1933 · (316) 744-2773
Sole ProprietorNo
Enumeration DateSeptember 15, 2010
NPI 1003124769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251G0304X
License Licensed in KS · 11-04112
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

621 W 21ST ST, Andover, KS 67002

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
621 W 21ST ST
ANDOVER, KS 67002
Skilled Nursing Facility
621 W 21ST ST
ANDOVER, KS 67002
Physical Therapist
621 W 21ST ST
ANDOVER, KS 67002
Speech-Language Pathologist
621 W 21ST ST
ANDOVER, KS 67002
Occupational Therapy Assistant
621 W 21ST ST
ANDOVER, KS 67002
Occupational Therapist
621 W 21ST ST
ANDOVER, KS 67002
Occupational Therapy Assistant
621 W 21ST ST
ANDOVER, KS 67002
Physical Therapy Assistant
621 W 21ST ST
ANDOVER, KS 67002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003124769, enumerated as an "individual" on September 15, 2010.

The provider is located at 621 W 21ST ST ANDOVER, KS 67002 and the phone number is (316) 733-1349.

Physical Therapist with taxonomy code 2251G0304X and a focus in Geriatrics.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.. Please consult your insurance carrier or call the provider to verify.