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

Mr. Travis Wayne Vander Reyden, PT

Individual provider Physical Therapist · NPI 1134104292

Mr. Travis Wayne Vander Reyden, PT is a Physical Therapist in Private Practice in Mishawaka, Indiana. Qualified in 2000, 26 years ago. Practices with Advanced Physical Therapy LLC, a 170-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
26
Licensed in
IN
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

60160 Bodnar Blvd
Mishawaka, IN 46544-9338
Phone: (574) 247-9441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5230 Beck Dr Ste 7, Elkhart, IN 46516-9059 — (574) 247-9441
  • 53880 Carmichael Dr, South Bend, IN 46635-1567 — (574) 247-9441

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05007152A (IN)

Record details

NPI number1134104292
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Advanced Physical Therapy Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Mishawaka