DEREK M KENDALL (DPT) – Physical Therapist, NPI 1760140636

DEREK M KENDALL (DPT) is a healthcare provider. based in Saint joseph, Missouri. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2021046644 (MO). The NPI Number for DEREK M KENDALL (DPT) is 1760140636

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DEREK M KENDALL (DPT)
NPI
1760140636
Phone
(816) 752-1622
Address
3312 SCOTT ST
Enumeration Date
7 December 2021
Last Update Date
7 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8162325113
Graduation Year
2021 (5 years ago)
PAC ID
4486045036
Group Practice PAC ID
5294791695
Professional Enrollment ID
I20211220001798
Address ID
MO645063667SA1802XRDXX400
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

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for DEREK M KENDALL (DPT)

  • 3312 SCOTT ST

    SAINT JOSEPH, MO 645071956

    Phone: (816) 752-1622

    Type: Mailing

  • 1802 N WOODBINE RD

    SAINT JOSEPH, MO 645063667

    Phone: (816) 232-5113

    Type: Location

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: 2021-12-20

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
I20211220001798IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64507)

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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: 5294791695View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
-MO
C H I R O P R A C T I CMO
-MO
C H I R O P R A C T I CMO
Physical Therapist In Private PracticeMO
-MO
Physical Therapist In Private PracticeMO
C H I R O P R A C T I CKS
C H I R O P R A C T I CMO

Reviews

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Frequently asked questions

What is the registry number for DEREK M KENDALL (DPT)?
The registry entry for DEREK M KENDALL (DPT) shows NPI 1760140636.
Quick check: is DEREK M KENDALL (DPT) active?
Public NPPES data shows DEREK M KENDALL (DPT) with an active NPI status right now.
What services align with DEREK M KENDALL (DPT)'s listing?
DEREK M KENDALL (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to DEREK M KENDALL (DPT)?
The directory associates DEREK M KENDALL (DPT) with Saint Joseph, Missouri. Check all listed addresses for suites or satellite offices.
Can I export DEREK M KENDALL (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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