DR. BLAKE BRUCE PATRICK SMITH (DPT) – Physical Therapist, NPI 1487381828

DR. BLAKE BRUCE PATRICK SMITH (DPT) is a healthcare provider. based in Warrensburg, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2022030942 (MO). The NPI Number for DR. BLAKE BRUCE PATRICK SMITH (DPT) is 1487381828

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAKE BRUCE PATRICK SMITH (DPT)
NPI
1487381828
Phone
(660) 441-3683
Address
407 E RUSSELL AVE STE 6
Enumeration Date
5 August 2022
Last Update Date
5 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6604294700
Graduation Year
2022 (4 years ago)
PAC ID
3274918933
Group Practice PAC ID
4486639093
Professional Enrollment ID
I20220915002153
Address ID
MO640931242WA407XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for DR. BLAKE BRUCE PATRICK SMITH (DPT)

  • 407 E RUSSELL AVE STE 6

    WARRENSBURG, MO 640931242

    Phone: (660) 441-3683

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220915002153IPhysical Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes80844$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes64844$0
97530Therapy procedure using functional activities58144$0
97164Re-evaluation for physical therapy, typically 20 minutes5130$0
97161Evaluation for physical therapy, typically 20 minutes4137$0
View full utilization report →

Insurance plans in this area (ZIP 64093)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486639093View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Does DR. BLAKE BRUCE PATRICK SMITH (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. BLAKE BRUCE PATRICK SMITH (DPT) uses 1487381828.
Can I rely on DR. BLAKE BRUCE PATRICK SMITH (DPT) being an active provider?
As of the registry snapshot, DR. BLAKE BRUCE PATRICK SMITH (DPT) is marked active.
What healthcare role does DR. BLAKE BRUCE PATRICK SMITH (DPT) hold?
Scheduling teams often label DR. BLAKE BRUCE PATRICK SMITH (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BLAKE BRUCE PATRICK SMITH (DPT) on a map?
Expect Warrensburg, Missouri as a primary anchor for DR. BLAKE BRUCE PATRICK SMITH (DPT) unless the record lists multiple sites.
Is the information about DR. BLAKE BRUCE PATRICK SMITH (DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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