Samuel Franco Van Haute, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

121 N Dean Ave Ste 102
Raymore, MO 64083-8398

Phone

(816) 441-5656

NPI assigned

May 30, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Fit Muscle & Joint Clinic LLC

  • Rehabilitation Chiropractor
  • Shawnee, KS
  • NPI 1093088320

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1821838301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22120 MIDLAND DR",
            "address_2": "SUITE 1",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132883",
            "telephone_number": "913-745-4064",
            "fax_number": "913-745-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N DEAN AVE STE 102",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838398",
            "telephone_number": "816-441-5656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22120 Midland Dr",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "KS",
            "postal_code": "662263554",
            "country_code": "US",
            "telephone_number": "913-745-4064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 NW Murray Rd",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640811425",
            "country_code": "US",
            "telephone_number": "816-944-4244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN HAUTE",
        "first_name": "SAMUEL",
        "middle_name": "FRANCO",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tam Tran
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• Spencer Turnbull
• Urgent Care of Cass County, LLC
• Robert D Vanmeter, P.T.
• Latha Venkatesh, MD
• Vulnerary LLC
• Jill Waan, APRN
• Linda T. Waight, SLP

• Physical Therapist in Raymore, MO
• Providers in Raymore, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.