WYATT ROBERT SANDER (PT, DPT) – Physical Therapist, NPI 1497484554

WYATT ROBERT SANDER (PT, DPT) is a healthcare provider. based in Grain valley, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 2022018259 (MO). The NPI Number for WYATT ROBERT SANDER (PT, DPT) is 1497484554

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
WYATT ROBERT SANDER (PT, DPT)
NPI
1497484554
Phone
(816) 867-0066
Address
1460 NW OLYMPIC DR STE J
Enumeration Date
6 June 2022
Last Update Date
6 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
7855374200
Graduation Year
2022 (4 years ago)
PAC ID
8820478720
Group Practice PAC ID
4284532748
Professional Enrollment ID
I20231206001957
Address ID
KS665022750MA1600XPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,541 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for WYATT ROBERT SANDER (PT, DPT)

  • 1460 NW OLYMPIC DR STE J

    GRAIN VALLEY, MO 640297865

    Phone: (816) 867-0066

    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: 2023-12-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220709000565IPhysical Therapist In Private PracticeMOTBD
I20231206001957IPhysical Therapist In Private PracticeKSTBD

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 minutes1,26270$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes75942$0
97530Therapy procedure using functional activities40643$0
97140Therapy procedure using manual technique, each 15 minutes26125$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care6412$0
View full utilization report →

Insurance plans in this area (ZIP 64029)

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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: 4284532748View full group profile
NameSpecialtyState
Physician AssistantKS
Orthopedic Surgery, Sports MedicineKS
Physical Therapist In Private PracticeKS
-KS
Nurse PractitionerKS
Physical Therapist In Private PracticeKS
Physician AssistantKS
Orthopedic Surgery, Sports MedicineKS
-KS
Orthopedic SurgeryKS

Reviews

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Frequently asked questions

How is WYATT ROBERT SANDER (PT, DPT) identified in CMS data?
CMS-hosted NPPES data lists WYATT ROBERT SANDER (PT, DPT) with NPI 1497484554.
Can I rely on WYATT ROBERT SANDER (PT, DPT) being an active provider?
As of the registry snapshot, WYATT ROBERT SANDER (PT, DPT) is marked active.
What is WYATT ROBERT SANDER (PT, DPT)'s primary classification?
Physical Therapist is the headline specialty for WYATT ROBERT SANDER (PT, DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for WYATT ROBERT SANDER (PT, DPT)?
WYATT ROBERT SANDER (PT, DPT)'s geographic hint is Grain Valley, Missouri in our summary view.
Is the information about WYATT ROBERT SANDER (PT, DPT) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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