Doctor profile · Federal record

Dr. Blake Petersen, DPT

Physical Therapist · Kansas City, MO

  • NPI 1063907129
  • 8 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5400 N Oak Trfy Ste 103
Kansas City, MO 641184689
(816) 455-0301

Credentials & registration

NPPES · NUCC
NPI registered
June 2018 — 8 yrs on file
Specialty taxonomy
225100000X — NUCC code
State license (1)
Missouri #2018022252

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1063907129. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
920
Distinct HCPCS
5
Medicare allowed
$23,961
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 358 27 $21
97530 Therapy procedure using functional activities 320 27 $30
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 196 24 $24
97150 Therapy procedure in a group setting 29 11 $13
97162 Evaluation for physical therapy, typically 30 minutes 17 17 $98

In context: peer comparison

Among 44 peers in this city , average services per provider: 360. This provider delivers 2.6× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Blake Petersen's medical specialty?
Dr. Blake Petersen practices Physical Therapist in Kansas City, MO.
Where does Dr. Blake Petersen practice?
Dr. Blake Petersen practices at 5400 N Oak Trfy Ste 103, Kansas City, MO 641184689. Office phone: 8164550301.
What is Dr. Blake Petersen's NPI?
Dr. Blake Petersen's National Provider Identifier (NPI) is 1063907129, issued by NPPES.
What procedures does Dr. Blake Petersen commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure using functional activities (HCPCS 97530); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112). Source: CMS Medicare Physician & Other Practitioners file.