Blake C Overmiller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

13420 Briar Dr Ste C
Leawood, KS 66209-3434

Phone

(913) 484-7632

Fax

(913) 808-5460

NPI assigned

May 27, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Minds Matter, LLC

  • Occupational Therapist
  • Mission, KS
  • NPI 1679617955
  Medicare reassignment NPD
• Phoenix Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1487287082
  Medicare reassignment NPD
• Precision Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wichita, KS
  • NPI 1639015597
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1336715747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13420 BRIAR DR STE C",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093434",
            "telephone_number": "913-484-7632",
            "fax_number": "913-808-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13420 BRIAR DR STE C",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093434",
            "telephone_number": "913-484-7632",
            "fax_number": "913-808-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERMILLER",
        "first_name": "BLAKE",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.marquettept.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "address_1": "13420 Briar Dr Ste C",
            "city": "Leawood",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662093434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Optimal Health and Wellness, LLC
• Orthopaedic & Sports Medicine Clinic of Kansas City, LLC
• Orthopaedic & Sports Medicine Consultants LLC
• Claire E Orwig, LCPC
• Alyssa Osterholm, OTD
• P & C Telehealth LLC
• Lisa M Park, FNP
• Neil Taylor Parker
• Philip Parrigon, RPH
• Kenedee Marie Parry, LMSW

• Physical Therapist in Leawood, KS
• Providers in Leawood, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.