MATTHEW VANDENDAELE PT, DPT
NPI 1417626516
Physical Therapist in Gladstone, MO

Active since September 10, 2021
6403 N PROSPECT AVE STE 450, GLADSTONE, MO 64119(816) 656-3698(816) 368-9488 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Dec 23, 2025, Oct 8, 2025 and 2 more (5 updates tracked since 2021).

About Matthew Vandendaele Pt, Dpt NPPES

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

MATTHEW VANDENDAELE PT, DPT (NPI 1417626516) is an individual physical therapist in Gladstone, Missouri, licensed in Missouri (2021048375) and active in the NPI registry since September 2021. He maintains 2 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417626516
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMATTHEW VANDENDAELECredential: PT, DPT
Location Address6403 N PROSPECT AVE STE 450Gladstone, MO 64119-1545
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-6200
Fax(816) 368-9488
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 10, 2021
Last NPPES UpdateApril 29, 20265 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1417626516 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
Licenses Licensed in MO · 2021048375 Licensed in KS · 11-06898
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.
6403 N PROSPECT AVE STE 450, Gladstone, MO 64119

Secondary Practice Locations 2

Location 1121 N Dean Ave Ste 102Raymore, MO 64083-8398 · Phone (816) 441-5656 · Fax (913) 745-4352
Location 21860 N Church RdLiberty, MO 64068-7179 · Phone (816) 368-8226

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Vandendaele Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628447414
PECOS Enrollment IDI20221219001031

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
186 services15 patients

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
6403 N PROSPECT AVE STE 450
GLADSTONE, MO 64119

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 Matthew Vandendaele's NPI number?

The NPI number for Matthew Vandendaele is 1417626516. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Where is Matthew Vandendaele located?

Matthew Vandendaele practices at 6403 N Prospect Ave Ste 450, Gladstone, MO 64119. The listed phone number is (816) 656-3698.

What is Matthew Vandendaele's specialty?

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

Is Matthew Vandendaele enrolled in Medicare?

Yes. Matthew Vandendaele is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Vandendaele accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Matthew Vandendaele as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Vandendaele was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.