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

Physical Medicine And Rehabilitation (CMS) · Overland Park, KS

Call (816) 444-1777 Directions

At a glance

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

NPPES record updated Jun 29, 2026. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

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Practice location

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

Additional reported practice locations

5721 W 119Th St
Overland Park, KS 662093722
Phone: 8164441777
Fax: 8163333277
2316 E Meyer Blvd
Kansas City, MO 641321136
Phone: 8164441777
Fax: 8133333277
6265 Rock Chalk Dr
Lawrence, KS 660495232
Phone: 8164441777
Fax: 8163333277
1201 W 12Th Ave
Emporia, KS 668012504
Phone: 6203436800
Fax: 6203417821
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
University Of Kansas School Of Med (Kc/Wich/Sal)
Graduation year
2015
CMS specialties
Physical Medicine And Rehabilitation

CMS reports telehealth services for this clinician. Confirm current services and availability with the practice.

Practice groups

Reported hospital affiliations

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

Source: CMS Facility Affiliation Data · Published Oct 15, 2026.

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PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Find providers with a similar service mix

Compare 2024 published Medicare activity in the same reported specialty, here or in another city.

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PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1487040002
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Registry details

Primary taxonomy
Physical Medicine And Rehabilitation (CMS)
Taxonomy code
208100000X
Enumeration date
Apr 9, 2015
Record updated
Jun 29, 2026
More registry details
Provider type
Individual · Type 1
Reported credentials
M.D., M.H.S.A.

Reported taxonomies and licenses

Specialty details in registry

208100000X

License reported: 2019034662 MO

Specialty details in registry

208100000X · Primary

License reported: 04-42530 KS

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10985 Cody St Ste 115
Overland Park, KS 66210-1224
Phone
(816) 444-1777
Fax
(816) 333-3277
Mailing address
10985 CODY ST STE 115

OVERLAND PARK, KS 662101224
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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