Anura Bandara, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

16532 Oak Park Ave
Suite 100
Tinley Park, IL 60477-1918

Phone

(708) 704-4668

Fax

(708) 532-0030

NPI assigned

Jan 27, 2006

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

Other names 1

• Mr. Ambakke Bandara Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Southwest Sports & Spinal Rehab Inc

  • Chiropractor
  • Tinley Park, IL
  • NPI 1427309434
  NPD (past)
• Sports and Ortho P.C

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1871640565
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1225009343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8107 167TH PL",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772330",
            "telephone_number": "708-614-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16532 OAK PARK AVE",
            "address_2": "SUITE 100",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771918",
            "telephone_number": "708-704-4668",
            "fax_number": "708-532-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDARA",
        "first_name": "ANURA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBAKKE",
            "last_name": "BANDARA",
            "prefix": "MR.",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adenike Balogun
• Adetutu Olusola Balogun, BS OCCUPATIONAL THER
• Joseph Abiodun Balogun, PHD PT
• Dawn Denisesinicki Bancsi, MPT
• Thomas Gerald Bancsi, MOT
• Roy James Bardwell Jr., D.O.
• Keyonne Barnes
• Jazmin Yvonne Barragan, PT,DPT
• Sandy Barrera Ramirez
• Heather Lindsey Barrios

• Physical Therapist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.