JUDD WILLIAM LANDERS – Physical Medicine & Rehabilitation Physician, NPI 1093237646

JUDD WILLIAM LANDERS is a healthcare provider. based in Kansas city, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2017024054 (MO). The NPI Number for JUDD WILLIAM LANDERS is 1093237646

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
JUDD WILLIAM LANDERS
NPI
1093237646
Phone
(816) 454-5818
Address
5404 NE ANTIOCH RD
Enumeration Date
14 July 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5635329440
Graduation Year
2017 (9 years ago)
PAC ID
9739519141
Group Practice PAC ID
4688582935
Professional Enrollment ID
I20200428000113
Address ID
IA521618108OS114XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

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Provider Addresses for JUDD WILLIAM LANDERS

  • North Cleveland Avenue, Kansas City, Clay County, Missouri, 64156-1299, United States

    KANSAS CITY, MO 641192507

    Phone: (816) 454-5818

    Fax: (816) 454-5994

    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: 2020-04-28

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
I20200428000113IPhysical Therapist In Private PracticeIATBD

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 minutes5113$0
View full utilization report →

Insurance plans in this area (ZIP 64119)

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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: 4688582935View full group profile
NameSpecialtyState
Family PracticeFL
-MN
Family PracticeIA
O P H T H A L M O L O G YMN
-MO
Family PracticeIA
-IA
Qualified AudiologistIA
Qualified Speech Language PathologistIA
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Is JUDD WILLIAM LANDERS listed with a National Provider Identifier?
Yes — JUDD WILLIAM LANDERS has NPI 1093237646 on file in the registry.
Is there an active status for JUDD WILLIAM LANDERS?
For scheduling context, JUDD WILLIAM LANDERS is shown as active in the registry.
What area of care is associated with JUDD WILLIAM LANDERS?
JUDD WILLIAM LANDERS's record emphasizes Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JUDD WILLIAM LANDERS?
Travel planning: use Kansas City, Missouri as the reference point for JUDD WILLIAM LANDERS, then confirm.
When was this NPI issued?
Enumeration for JUDD WILLIAM LANDERS is noted as July 14, 2017 where the registry provides it.

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