Katherine Dake, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

220 NW R D Mize Rd Ste B203
Blue Springs, MO 64014-2540

Phone

(816) 220-0223

NPI assigned

Dec 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Advanced Physical Therapy and Sports Rehabilitation, P.a.

  • Physical Therapy Clinic/Center
  • Kansas City, MO
  • NPI 1154501385

  Physical Therapist

  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1366048621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 HOLLY ST APT 2",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641117233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW R D MIZE RD STE B203",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142540",
            "telephone_number": "816-220-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKE",
        "first_name": "KATHERINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D & M Dental Services, LLC
• D. Mark Monheiser, D.D.S.P.C.
• Carlyle Holbrook Dahlquist, DDS
• Ryan Dahlquist, DDS
• Khaled Ahmed Dahman
• Laura Grace Daugherty, PTA
• Jeremy Michael Daves, CRNA
• Amelia Marie Davis, RN
• Kelley Davis, MS, CCC-SLP
• Michael James Davis, LPC

• All providers in Blue Springs, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.