Matthew Vandendaele, PT, DPT in Gladstone, MO - Medicare Physical Therapist In Private Practice Provider

Matthew Vandendaele, PT, DPT is a medicare enrolled "Physical Therapist" provider in Gladstone, Missouri. He graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Fit Muscle And Joint Clinic Llc, Athletico Ltd and his current practice location is 6403 N Prospect Ave Ste 450, Gladstone, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 656-3698.

Matthew Vandendaele is licensed to practice in Missouri (license number 2021048375) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1417626516.

Contact Information

	Matthew Vandendaele, PT, DPT
	6403 N Prospect Ave Ste 450, Gladstone, MO 64119-1545
	(816) 656-3698
	(816) 368-9488

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Vandendaele
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	5 Years
Location	6403 N Prospect Ave Ste 450, Gladstone, Missouri
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Matthew Vandendaele graduated from medical school in 2021

NPI Data:

NPI Number: 1417626516
Provider Enumeration Date: 09/10/2021
Last Update Date: 04/29/2026

Medicare PECOS Information:

PECOS PAC ID: 8628447414
Enrollment ID: I20221219001031

Medical Identifiers

Medical identifiers for Matthew Vandendaele such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417626516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11-06898 (Kansas)	Secondary
225100000X	Physical Therapist	2021048375 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fit Muscle And Joint Clinic Llc	5991935579	52
Athletico Ltd	4789602681	2174

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Vandendaele allows following entities to bill medicare on his behalf.

Provider Name	Fit Muscle & Joint Clinic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801350921 PECOS PAC ID: 5991935579 Enrollment ID: O20221031002698

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Vandendaele is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Matthew Vandendaele, PT, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-6200	Matthew Vandendaele, PT, DPT 6403 N Prospect Ave Ste 450, Gladstone, MO 64119-1545 Ph: (816) 656-3698

Reviews and Comments

Physical Therapist in Gladstone, MO

Emily L Lyons, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6403 N Prospect Ave Ste 450, Gladstone, MO 64119 Phone: 816-656-3698 Fax: 816-368-9488
Preferred Pt, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Nw Englewood Rd, Ste. 110, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-413-0737
Alexandra Witt, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Nw Englewood Rd Ste 110, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-413-0737
Tayler James, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5601 Ne Antioch Rd Ste 4, Gladstone, MO 64119 Phone: 816-452-4488
Becky Phung, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Nw Englewood Rd, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-413-0737
Rachel Nicholson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Nw Englewood Rd, Ste 110, Gladstone, MO 64118 Phone: 816-413-0900 Fax: 816-413-0737

Matthew Vandendaele, PT, DPT - Medicare Physical Therapist in Gladstone, MO