Individual provider Active NPI

Wyatt Robert Sander, PT, DPT

  • Physical Therapist
  • Manhattan, KS
National Provider Identifier
1497484554
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2022018259 Issued in MO
Practice address
1600 Charles PL
Manhattan, KS 66502-2750
Phone
(785) 537-4200
Fax
(844) 749-1114
NPI assigned
Jun 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2022018259 MO Primary

Addresses

Primary practice location

1600 Charles PL
Manhattan, KS 66502-2750

Mailing address

1600 Charles PL
Manhattan, KS 66502-2750
Phone (785) 537-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220709000565 MO Practitioner - Physical Therapist in Private Practice 8820478720 Reassigns benefits to 1 organization
I20231206001957 KS Practitioner - Physical Therapist in Private Practice 8820478720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Sports Medicine Center LLPGroup PAC ID 4284532748, 23 clinicians

Practice addresses (Care Compare)

1600 Charles PL
Manhattan, KS 66502-2750
Phone (785) 537-4200

Merit-based Incentive Payment System (MIPS)

Final score
69.92 of 100Reported as group
Quality
61.7
Promoting interoperability
64
Improvement activities
40
Cost
68.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022018259MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boost Sports Performance, LLC CurrentSince Jun 6, 2022 Accepting new patients
Orthopaedic and Sports Medicine Center LLP CurrentSince Dec 4, 2023 Accepting new patients

Locations

1600 Charles Pl
Manhattan, KS 66502
Phone (785) 537-4200

8231 Positano Dr
Manhattan, KS 66502
Phone (785) 534-4699

17011 Bel Ray Blvd
Belton, MO 64012
Phone (816) 425-4523

1460 NW Olympic Dr
Ste J
Grain Valley, MO 64029
Phone (816) 867-0066

3801 Selsa Rd
Ste 7
Independence, MO 64057
Phone (816) 795-0434

2861 NE Independence Ave
Ste 104
Lees Summit, MO 64064
Phone (816) 272-8538

2105 Kara Ct
Ste 1-A
Liberty, MO 64068
Phone (816) 407-1249

470 Johnson Rd
Ste 100
Washington, PA 15301

Interoperability endpoints

  • Direct secure messaging: wyatt.sander.p1@direct.osmcks.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1497484554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-537-4200",
            "fax_number": "844-749-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CHARLES PL",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022750",
            "telephone_number": "785-537-4200",
            "fax_number": "844-749-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDER",
        "first_name": "WYATT",
        "middle_name": "ROBERT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2022018259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.