William Lake Bandy, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

340 Heald Way Ste 232
The Villages, FL 32163-6088

Phone

(352) 330-1154

NPI assigned

Sep 8, 2022

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Physical Therapy & Rehabilitative Services Inc

  dba Lake Centre for Rehabilitation

  • Rehabilitation Clinic/Center
  • Leesburg, FL
  • NPI 1417023730
  NPD (past)
• The Villages Rehabilitation Services LLC

  dba Lake Centre for Rehabilitation at the Villages

  • Rehabilitation Clinic/Center
  • Lady Lake, FL
  • NPI 1407922735
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1023739927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 491653",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347491653",
            "telephone_number": "352-728-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HEALD WAY STE 232",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321636088",
            "telephone_number": "352-330-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDY",
        "first_name": "WILLIAM",
        "middle_name": "LAKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Backstrom, PT
• Bo Bagenholm, MD
• Branda Bailey, PTA
• Sergio Labial Balingit Jr., MD
• Madhusudhan Reddy Banda, MD
• Elyse Banister, O.D.
• Kelley J Bannerman, PTA
• Thomas Paul Baranek, MA CCC-A
• Effie Darlene Barba, A.R.N.P.
• Austin Barfield

• Physical Therapist in The Villages, FL
• Providers in The Villages, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.