Matthew Vandendaele, PT, DPT
NPI 1417626516 · Physical Therapist · Gladstone, MO
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Matthew Vandendaele, PT, DPT is a Physical Therapist provider in Gladstone, MO (NPI 1417626516).
Provider details
- NPI number
- 1417626516
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 11-06898 (KS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
4 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
186 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 186 | $30 |
Typical Medicare-allowed amounts for these services range $30–$30 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 1860 N Church RdLiberty, MO 64068-7179Phone: (816) 368-8226
- 121 N Dean Ave Ste 102Raymore, MO 64083-8398Phone: (816) 441-5656Fax: (913) 745-4352
Registry dates
- Enumerated
- 2021-09-10
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Matthew Vandendaele's NPI number?
- Matthew Vandendaele's National Provider Identifier (NPI) is 1417626516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Matthew Vandendaele's specialty?
- Matthew Vandendaele is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Matthew Vandendaele located?
- Matthew Vandendaele's practice location on file with NPPES is 6403 N Prospect Ave Ste 450, Gladstone, MO 64119-1545.
- What is Matthew Vandendaele's phone number?
- The practice phone number listed in the NPPES registry for Matthew Vandendaele is (816) 656-3698.
- Does Matthew Vandendaele accept Medicare?
- Matthew Vandendaele is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Matthew Vandendaele's NPI active?
- Yes — Matthew Vandendaele's NPI (1417626516) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.