Jake Blackburn, DPT
NPI 1295611721 · Physical Therapist · Chesterfield, MO
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Blackburn, DPT is a Physical Therapist provider in Chesterfield, MO (NPI 1295611721).
Provider details
- NPI number
- 1295611721
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 2025033478 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-08-12
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Jake Blackburn's NPI number?
- Jake Blackburn's National Provider Identifier (NPI) is 1295611721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Blackburn's specialty?
- Jake Blackburn is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jake Blackburn located?
- Jake Blackburn's practice location on file with NPPES is 14515 N Outer 40 Rd Ste 110, Chesterfield, MO 63017-5746.
- What is Jake Blackburn's phone number?
- The practice phone number listed in the NPPES registry for Jake Blackburn is (314) 434-6060.
- Does Jake Blackburn accept Medicare?
- Jake Blackburn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Blackburn's NPI active?
- Yes — Jake Blackburn's NPI (1295611721) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.