Mr Travis Wayne Vander Reyden, PT in Mishawaka, IN - Medicare Physical Therapist In Private Practice Provider

Mr Travis Wayne Vander Reyden, PT is a medicare enrolled "Physical Therapist" provider in Mishawaka, Indiana. He graduated from medical school in 2000 and has 26 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Advanced Physical Therapy Llc, Central Indiana Orthopedics Llc and his current practice location is 60160 Bodnar Blvd, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 247-9441.

Mr Travis Wayne Vander Reyden is licensed to practice in Indiana (license number 05007152A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134104292.

Contact Information

	Mr Travis Wayne Vander Reyden, PT
	60160 Bodnar Blvd, Mishawaka, IN 46544-9338
	(574) 247-9441
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Travis Wayne Vander Reyden
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	26 Years
Location	60160 Bodnar Blvd, Mishawaka, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Travis Wayne Vander Reyden graduated from medical school in 2000

NPI Data:

NPI Number: 1134104292
Provider Enumeration Date: 12/13/2005
Last Update Date: 04/09/2026

Medicare PECOS Information:

PECOS PAC ID: 7810072527
Enrollment ID: I20080305000345

Medical Identifiers

Medical identifiers for Mr Travis Wayne Vander Reyden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134104292	NPI	-	NPPES
200386080	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05007152A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Physical Therapy Llc	6002959525	176
Central Indiana Orthopedics Llc	5698667822	145

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. Mr Travis Wayne Vander Reyden allows following entities to bill medicare on his behalf.

Provider Name	Advanced Physical Therapy Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1316940505 PECOS PAC ID: 6002959525 Enrollment ID: O20111006000030

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. Mr Travis Wayne Vander Reyden 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
Mr Travis Wayne Vander Reyden, PT 3600 W Bethel Ave, Muncie, IN 47304-5407 Ph: () -	Mr Travis Wayne Vander Reyden, PT 60160 Bodnar Blvd, Mishawaka, IN 46544-9338 Ph: (574) 247-9441

Reviews and Comments

Physical Therapist in Mishawaka, IN

Coronel Einna-ernest Lopez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5325 Grape Rd Ste C, Mishawaka, IN 46545 Phone: 574-404-8405 Fax: 574-314-9034
Cory Goodson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 E Douglas Rd, Mishawaka, IN 46545 Phone: 574-307-7200
Leslie Ann Laughlin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 221 W Day Rd, Mishawaka, IN 46545 Phone: 574-256-9420 Fax: 574-256-9465
Eduardo Campos-hernandez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 Lincolnway E Ste 100, Mishawaka, IN 46544 Phone: 574-647-2560 Fax: 574-647-2563
Ergonomic Health Solutions Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3640 Edison Lakes Pkwy, Suite B, Mishawaka, IN 46545 Phone: 574-256-6704 Fax: 574-256-2284
Jonathan D.v. Sanner, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3740 Edison Lakes Pkwy, Mishawaka, IN 46545 Phone: 574-252-4150 Fax: 574-252-4159

Mr Travis Wayne Vander Reyden, PT - Medicare Physical Therapist in Mishawaka, IN