IndividualActive
Blake Edwards, PT, DPT
NPI 1164197406 · Physical Medicine & Rehabilitation Physician · Independence, MO
Provider details
- NPI number
- 1164197406
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 2021031365 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3801 Selsa Rd Ste 7
Independence, MO 64057-1712
Phone: (816) 795-0434
Fax: (816) 795-0482
Street-level locationGet directions
Mailing address
3801 Selsa Rd Ste 7
Independence, MO 64057-1712
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.