Blake H Petersen
CORE PHYSICAL THERAPY AND REHABILITATION, LLC


Address: 200 Ne 54th St, Suite 101, Kansas City, MO 64118-4338
Phone: 8164550301

Blake H Petersen (NPI# 1063907129, PAC ID# 3072860501) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1063907129
PAC ID by PECOS 3072860501
Professional Enrollment ID I20180716001099
Full Name Blake H Petersen
Organization Legal Name CORE PHYSICAL THERAPY AND REHABILITATION, LLC
Address 200 Ne 54th St
Suite 101
Kansas City
MO 64118-4338
Phone Number 8164550301
Gender M
Medical School CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2018
Primary Specialty PHYSICAL THERAPY
Group Practice PAC ID 1759560261
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
200 Ne 54th St, Suite 101, Kansas City, MO 64118-4338 8164550301 CORE PHYSICAL THERAPY AND REHABILITATION, LLC

Organization Information

Organization Legal Name CORE PHYSICAL THERAPY AND REHABILITATION, LLC
Physicians 7

Physicians with the same organization

Name Specialty Organization Address
Amanda J Wiederhott Physical Therapy Core Physical Therapy and Rehabilitation, LLC 556 Rush Creek Pkwy, Suite C, Liberty, MO 64068-9605
Katherine Anne Andes Physical Therapy Core Physical Therapy and Rehabilitation, LLC 3800 S Elizabeth St, Suite G, Independence, MO 64057-2652
Frank J Termini Physical Therapy Core Physical Therapy and Rehabilitation, LLC 3010 S State Route 291, Suite B, Independence, MO 64057-1207
Mark William Lawhon Physical Therapy Core Physical Therapy and Rehabilitation, LLC 3010 S State Route 291, Suite B, Independence, MO 64057-1207
William Jason Gearhart Physical Therapy Core Physical Therapy and Rehabilitation, LLC 3010 S State Route 291, Suite B, Independence, MO 64057-1207
Jamie D Scheer Physical Therapy Core Physical Therapy and Rehabilitation, LLC 556 Rush Creek Pkwy, Suite C, Liberty, MO 64068-9605

Office Location

Street Address 200 NE 54TH ST
SUITE 101
City KANSAS CITY
State MO
Zip 64118-4338

Physicians in the same location

Name Specialty Organization Address
Regina Beth Henry Infectious Disease Metro Infectious Disease Consultants LLC 200 Ne 54th St, Unit 111, Kansas City, MO 64118-4338
Rachel T Weihe Infectious Disease Metro Infectious Disease Consultants LLC 200 Ne 54th St, Unit 111, Kansas City, MO 64118-4338
David S Mckinsey Infectious Disease Metro Infectious Disease Consultants LLC 200 Ne 54th St, Unit 111, Kansas City, MO 64118-4338
Bala S Somayaji Infectious Disease Metro Infectious Disease Consultants LLC 200 Ne 54th St, Unit 111, Kansas City, MO 64118-4338
Mary C Oconnor Infectious Disease Metro Infectious Disease Consultants LLC 200 Ne 54th St, Unit 111, Kansas City, MO 64118-4338

Physicians in the same zip code

Name Specialty Organization Address
Blake M Overly Chiropractic 8002 N Oak Trfy, Suite 112, Kansas City, MO 64118-1272
Mary Jo Hegstrom Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Jessica Elise Winberry Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Angela Marie Nickell Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Kayla Ubel Lingenfelter Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Jaron Thomas Perry Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Vanessa Gail Shaw Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Ashley Marie Fotiadis Physical Therapy Serc Rehabilitation Partners LLC 7932 N Oak Trfy, 212 Serc Metro North, Kansas City, MO 64118-1424
Frank P Siraguso Jr. Chiropractic 7825 N Oak Trfy, Kansas City, MO 64118-1426
Christina M Ebert Clinical Social Worker 21 Nw 78th Ter, Kansas City, MO 64118-1456
Find all physicians in zip 64118

Competitor

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City KANSAS CITY
Zip Code 64118
Specialty PHYSICAL THERAPY
City + Specialty KANSAS CITY + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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