Individual provider Active NPI

Fnu Sindhuja Gunasekaran, PT, DPT

  • Physical Therapist
  • Fort Washington, MD
National Provider Identifier
1235762923
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28715 Issued in MD
Practice address
11701 Livingston Rd Ste 202
Fort Washington, MD 20744-5136
Phone
(443) 512-8337
Fax
(443) 327-5282
NPI assigned
Feb 20, 2020
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1328688 TX
Physical Therapist 225100000X 28715 MD Primary

Addresses

Primary practice location

11701 Livingston Rd Ste 202
Fort Washington, MD 20744-5136

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200505002156 TX Practitioner - Physical Therapist in Private Practice 5092146118 Reassigns benefits to 1 organization
I20230301002871 DC Practitioner - Physical Therapist in Private Practice 5092146118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evidence Physical Therapy, LLCGroup PAC ID 3779769971, 10 clinicians

Practice addresses (Care Compare)

12150 Annapolis Rd
Suite 201
Glenn Dale, MD 20769-9183
Phone (301) 352-8370

Merit-based Incentive Payment System (MIPS)

Final score
83.65 of 100Reported as group
Quality
80.56
Improvement activities
40
Cost
71.41

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28715MDMDPhysical Therapist
1328688TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Liberty Venture Group, LLC Physical Therapist CurrentSince Feb 7, 2020 Accepting new patients
Evidence Physical Therapy, LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4740 Cherry Hill Rd
College Park, MD 20740
Phone (240) 965-0999

12150 Annapolis Rd
Ste 201
Glenn Dale, MD 20769
Phone (301) 352-8370

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

6014 45th St
Unit B
Lubbock, TX 79407
Phone (806) 686-4444

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1235762923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD STE 202",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445136",
            "telephone_number": "443-512-8337",
            "fax_number": "443-327-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDHUJA GUNASEKARAN",
        "first_name": "FNU",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1328688",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.