DR. STEPHANIE DANIELLE BLAKE (NPI# 1003124769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003124769 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE DANIELLE BLAKE |
| Credential | DPT |
| Practice Address |
621 W 21st St Andover KS 67002-8498 |
| Mailing Address |
4141 Danbury St Bel Aire KS 67220-1933 |
| Practice Telephone | 3167331349 |
| Mailing Telephone | 3167442773 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
11-04112 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144710815 | Stephanie Blake | Specialist/Technologist | 60 W Fulbright St, Walnut Ridge, AR 72476-9000 | 2018-05-17 |
| 1649365362 | Stephanie Kuulei Blake | Social Worker | 26 W Hidden Hollow Dr, Orem, UT 84058-7497 | 2006-10-04 |
| 1376109272 | Stephanie Blake | Behavior Technician | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2019-05-15 |
| 1841707403 | Stephanie S Blake | Social Worker | 7272 Wurzbach Rd Ste 706, San Antonio, TX 78240-4803 | 2018-01-04 |
| 1164811279 | Stephanie Kay Blake | Physical Therapist | 8537 Asheville Hwy, Suite 201, Knoxville, TN 37924-4124 | 2015-01-13 |
| 1366840910 | Stephanie Blake | Pharmacist | 77 Chicago Ave, Staten Island, NY 10305-3757 | 2014-12-15 |
| 1053585638 | Stephanie Mccallum Blake | Nurse Practitioner | Baptist Medical Center, 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2008-04-15 |
| Street Address |
621 W 21ST ST |
| City | ANDOVER |
| State | KS |
| Zip Code | 67002-8498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174590822 | Michelle Lynn Kane | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2006-03-01 |
| 1447878368 | Caroline Reid | Occupational Therapist | 621 W 21st St, Andover, KS 67002-8498 | 2020-07-07 |
| 1518440270 | Kelsey Marie Highbarger | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2018-09-10 |
| 1861942146 | Angelica Bretton | Physical Therapy Assistant | 621 W 21st St, Andover, KS 67002-8498 | 2016-10-11 |
| 1659724300 | Chelsea Leigh Maxwell | Hearing Instrument Specialist | 621 W 21st St, Andover, KS 67002-8498 | 2016-07-18 |
| 1225480601 | Jodi White | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2016-07-08 |
| 1770967341 | Ivey Melissa Hardison | Physical Therapist | 621 W 21st St, Andover, KS 67002-8498 | 2015-07-14 |
| 1003202045 | Reesa Volgamore | Physical Therapy Assistant | 621 W 21st St, Andover, KS 67002-8498 | 2015-04-07 |
| 1104210061 | Michael Stratton | Speech-Language Pathologist | 621 W 21st St, Andover, KS 67002-8498 | 2015-03-27 |
| 1265826432 | Valen Villo | Physical Therapist | 621 W 21st St, Andover, KS 67002-8498 | 2015-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262707 | Rachel Marie Porter | Nurse Practitioner | Andover Family Medicine, 2117 N Keystone Circle, Andover, KS 67002 | 2020-07-13 |
| 1033535695 | Michael L Ray | Chiropractor | 1145 N Andover Rd Ste 109, Andover, KS 67002 | 2014-03-06 |
| 1225372949 | Lisa Hua Lee | Physical Therapy Assistant | 811 N Crescent Lakes Cir, Andover, KS 67002 | 2012-11-19 |
| 1689992752 | Andover Senior Care, LLC | Skilled Nursing Facility | 224 E Central Ave, Andover, KS 67002 | 2010-05-13 |
| 1033303136 | Casey T Hummel | Chiropractor | 550 North Andover Road, Andover, KS 67002 | 2007-08-31 |
| 1801007786 | Kansas Medical Center, LLC | Family Medicine | 1124 W. 21st St, Andover, KS 67002 | 2007-05-24 |
| 1205929957 | Sitha Uy Miller | Internal Medicine | 943 N. Andover Road, Andover, KS 67002 | 2006-10-02 |
| 1275644650 | Shala Renee Holman | Physician Assistant | 1124 W. 21st Street, Andover, KS 67002 | 2006-08-31 |
| 1497869168 | Allan Michael Weilert | Chiropractor | 202 E Rhondda St, Ste A, Andover, KS 67002 | 2006-08-18 |
| 1407872708 | Lindsay Marie Landers | Family Medicine | 105 S Andover Rd, Suite D, Andover, KS 67002 | 2006-07-14 |
| Find all providers in zip 67002 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922315928 | Michelle Marotta | Physical Therapist | 621 W 21st St, Andover, KS 67002-8498 | 2010-09-12 |
| 1417080425 | Mary Messier Wrinn | Physical Therapist | 200 Brickstone Sq, Suite 301, Andover, MA 01810-1437 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538623988 | Stacie Wiechman | Physical Therapist | 20982 W 116th Ter, Olathe, KS 66061-5679 | 2019-01-29 |
| 1588153399 | Lisa D Lowe | Physical Therapist | 4000 W 102nd St, Overland Park, KS 66207-3613 | 2018-05-07 |
| 1346653219 | Alexis Nicole Michel | Physical Therapist | 2727 N Rock Rd, Wichita, KS 67226-1128 | 2014-06-08 |
| 1841560174 | Debbie Sue Ortega | Physical Therapist | 110 S Grand St, Mcpherson, KS 67460-4430 | 2012-01-03 |
| 1881912905 | Elizabeth Suzann Stewart | Physical Therapist | 141 Se 40th St, Topeka, KS 66609-1427 | 2010-05-13 |
| 1245440296 | Karen Sue Anderson | Physical Therapist | 240 W. 19th Street, Fredonia, KS 67047-1718 | 2007-05-22 |
| 1891901989 | Robin Suzanne Hodges | Physical Therapist | 636f E Shipton Rd, Salina, KS 67401-9322 | 2007-05-15 |
| 1437173200 | Natalie B. Merten | Physical Therapist | 622 N. Edgemoor St, Wichita, KS 67208-1234 | 2006-07-26 |
| 1689200602 | Pamela Kaye Persons | Physical Therapist | 1655 S Georgetown St, Wichita, KS 67218-4140 | 2020-03-21 |
| 1912562679 | Amanda Lynn Cook | Physical Therapist | 12500 W 137th St, Overland Park, KS 66221-4183 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. STEPHANIE DANIELLE BLAKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.