Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Vandendaele, PT, DPT

Individual provider Physical Therapist · NPI 1417626516

Matthew Vandendaele, PT, DPT is a Physical Therapist in Private Practice in Gladstone, Missouri. Qualified in 2021, 5 years ago. Practices with Fit Muscle and Joint Clinic LLC, a 52-clinician group and works from 3 locations. Licensed in Kansas and Missouri.

Years since qualifying
5
Licensed in
KS, MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6403 N Prospect Ave Ste 450
Gladstone, MO 64119-1545
Phone: (816) 656-3698
Fax: (816) 368-9488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1860 N Church Rd, Liberty, MO 64068-7179 — (816) 368-8226
  • 121 N Dean Ave Ste 102, Raymore, MO 64083-8398 — (816) 441-5656

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2021048375 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-06898 (KS)

Record details

NPI number1417626516
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fit Muscle And Joint Clinic Llc — 52 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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