DR. SAMUEL FRANCO VAN HAUTE PT, DPT
NPI 1821838301
Physical Therapist in Raymore, MO

Active since May 30, 2024
121 N DEAN AVE STE 102, RAYMORE, MO 64083(816) 441-5656 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 4, 2024, Aug 22, 2024 (2 updates tracked since 2024).

About Dr. Samuel Franco Van Haute Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL FRANCO VAN HAUTE PT, DPT (NPI 1821838301) is an individual physical therapist in Raymore, Missouri and active in the NPI registry since May 2024. He maintains 2 additional practice locations and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821838301
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. SAMUEL FRANCO VAN HAUTECredential: PT, DPT
Location Address121 N DEAN AVE STE 102Raymore, MO 64083-8398
Mailing Address22120 Midland Dr, Suite 1Overland Park, KS 66213-2883 · (913) 745-4064 · Fax (913) 745-4352
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 30, 2024
Last NPPES UpdateOctober 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1821838301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
121 N DEAN AVE STE 102, Raymore, MO 64083

Secondary Practice Locations 2

Location 122120 Midland DrShawnee, KS 66226-3554 · Phone (913) 745-4064
Location 2401 NW Murray RdLees Summit, MO 64081-1425 · Phone (816) 944-4244

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samuel Franco Van Haute Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406395094
PECOS Enrollment IDI20260730003832

Medicare Billing Reassignment

Medicare enrollment records show Samuel Van Haute reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
16185 LOS GATOS BLVD STE 205
Los Gatos, CA 95032
  • Reassigned Medicare billing, California enrollment
  • 1,388 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
121 N DEAN AVE STE 102
RAYMORE, MO 64083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Van Haute's NPI number?

The NPI number for Samuel Van Haute is 1821838301. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Samuel Van Haute located?

Samuel Van Haute practices at 121 N Dean Ave Ste 102, Raymore, MO 64083. The listed phone number is (816) 441-5656.

What is Samuel Van Haute's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samuel Van Haute enrolled in Medicare?

Yes. Samuel Van Haute is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Van Haute's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Van Haute reassigns Medicare benefits to California Luna Care Physical Therapy PC (Los Gatos, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Van Haute's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Van Haute was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.