Individual provider · Type 1 NPI

Johnathon Blake, MD, M.H.S.A.

Physical Medicine & Rehabilitation Physician · Overland Park, KS

NPI number 1487040002 Active

Practice location

10985 Cody St Ste 115
Overland Park, KS 66210-1224

Call (816) 444-1777 Map

Fax (816) 333-3277

Other practice locations

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

Specialties and licenses

Taxonomy	Code	License
Physical Medicine & Rehabilitation Physician	208100000X	2019034662 (MO)
Physical Medicine & Rehabilitation Physician Primary	208100000X	04-42530 (KS)

Physical Medicine & Rehabilitation Physician: Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively,…

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About NPI 1487040002

Johnathon Blake, MD, M.H.S.A.'s National Provider Identifier is 1487040002, issued on Apr 9, 2015. The primary taxonomy on file is Physical Medicine & Rehabilitation Physician (208100000X), and the practice location is in Overland Park, KS. The record was last updated on Jun 29, 2026.