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

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

04-42530 Issued in KS

Practice address

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

Phone

(816) 444-1777

Fax

(816) 333-3277

NPI assigned

Apr 9, 2015

Last updated

Jun 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and Rehabilitation

Education

University of Kansas School of Med (KC/Wich/Sal), 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Partners in Rehab MedicineGroup PAC ID 3678899242, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• LMH Hospital, Lawrence, KS, CCN 170137
• Bates County Memorial Hospital Hospital, Butler, MO, CCN 260034
• Research Medical Center Inpatient rehabilitation facility, Kansas City, MO, CCN 26T027
• Menorah Medical Center Inpatient rehabilitation facility, Overland Park, KS, CCN 17T182

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnathon.blake@pirm.eclinicaldirectplus.com

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

• Partners in Rehab Medicine

  • Physical Medicine & Rehabilitation Physician
  • Overland Park, KS
  • NPI 1578968368

  MO

  Medicare reassignment Care Compare group NPD
• Newman Memorial County Hospital

  dba Newman Medical Partners

  • Rural Health Clinic/Center
  • Emporia, KS
  • NPI 1114085594
  Medicare reassignment
• Newman Memorial County Hospital

  dba Newman Regional Health

  • Critical Access Hospital
  • Emporia, KS
  • NPI 1245643576
  Medicare reassignment
• Leklan PC

  • Physical Medicine & Rehabilitation Physician
  • Kansas City, MO
  • NPI 1063885986
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence Memorial Hospital

  • General Acute Care Hospital
  • Lawrence, KS
  • NPI 1508883422
  Care Compare affiliation
• Midwest Division - MMC, LLC

  dba Menorah Medical Center

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1255378337

  Inpatient rehabilitation facility

  Care Compare affiliation
• Midwest Division - MMC, LLC

  dba Menorah Medical Center

  • Rehabilitation Hospital Unit
  • Overland Park, KS
  • NPI 1841246154

  Inpatient rehabilitation facility

  Care Compare affiliation
• Bates County Memorial Hospital

  • General Acute Care Hospital
  • Butler, MO
  • NPI 1770536740
  Care Compare affiliation
• Bates County Memorial Hospital Ambulance

  • Land Ambulance
  • Butler, MO
  • NPI 1356448740

  Hospital

  Care Compare affiliation
• Midwest Division - RMC, LLC

  dba Research Medical Center

  • General Acute Care Hospital
  • Kansas City, MO
  • NPI 1134187842

  Inpatient rehabilitation facility

  Care Compare affiliation
• Midwest Division - RMC, LLC

  dba Research Medical Center

  • Rehabilitation Hospital Unit
  • Kansas City, MO
  • NPI 1346282142

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1487040002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10985 CODY ST STE 115",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101224",
            "telephone_number": "816-444-1777",
            "fax_number": "816-333-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10985 CODY ST STE 115",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662101224",
            "telephone_number": "816-444-1777",
            "fax_number": "816-333-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5721 W 119th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662093722",
            "country_code": "US",
            "telephone_number": "816-444-1777",
            "fax_number": "816-333-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012504",
            "country_code": "US",
            "telephone_number": "620-343-6800",
            "fax_number": "620-341-7821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6265 Rock Chalk Dr",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660495232",
            "country_code": "US",
            "telephone_number": "816-444-1777",
            "fax_number": "816-333-3277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2316 E Meyer Blvd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321136",
            "country_code": "US",
            "telephone_number": "816-444-1777",
            "fax_number": "813-333-3277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JOHNATHON",
        "name_prefix": "Dr.",
        "credential": "M.D., M.H.S.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-09",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MO",
            "license": "2019034662",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KS",
            "license": "04-42530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Black
• Jordin Blackwell
• Tiffany V Blackwell, NMT-FELLOW
• Kari Blair, MS,CCC-SLP
• Maureen Elizabeth Blair, B.A.
• Brandon Robert Blalock
• Lauren Blando, DPT
• Lori Blankinship, ND
• Derek Blau
• Megan Blaufuss, OTR/L

• Physical Medicine & Rehabilitation Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Physical Medicine & Rehabilitation Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.