BLAKE HAMMOND PETERSEN DPT
NPI 1063907129
Physical Therapist in Kansas City, MO
About Blake Hammond Petersen Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLAKE HAMMOND PETERSEN DPT (NPI 1063907129) is an individual physical therapist in Kansas City, Missouri, licensed in Missouri (2018022252) and active in the NPI registry since June 2018.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blake Hammond Petersen Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Blake Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Overland Park, KS 66202
- Reassigned Medicare billing, Kansas and Missouri enrollments
- 49 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blake Petersen's NPI number?
The NPI number for Blake Petersen is 1063907129. It was assigned to this individual provider in the NPPES registry on June 29, 2018.
Where is Blake Petersen located?
Blake Petersen practices at 5400 N Oak Trfy Ste 103, Kansas City, MO 64118. The listed phone number is (816) 455-0301.
What is Blake Petersen's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Blake Petersen enrolled in Medicare?
Yes. Blake Petersen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Blake Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Blake Petersen reassigns Medicare benefits to Arc Physical Therapy Plus LP (Overland Park, KS). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Blake Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Blake Petersen was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.