Vandana Kanakamedala

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206102 Issued in VA

Practice address

9824 Shore Break LN Apt 305
Berlin, MD 21811-3032

Phone

(248) 229-3606

NPI assigned

Oct 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vandana Kanagala Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1497537575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9824 SHORE BREAK LN APT 305",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113032",
            "telephone_number": "248-229-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9824 SHORE BREAK LN APT 305",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218113032",
            "telephone_number": "248-229-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAKAMEDALA",
        "first_name": "VANDANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANDANA",
            "last_name": "KANAGALA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Megan Kappes Jones, D.P.T., P.T.
• Tarrin Jones
• Roseline Joseph Andre
• Joanna Justice
• Mary Ann Justice, RN
• Carey Ann Kane
• Kappes Wellness Centers, P.a.
• Christina Lynn Kappes, D.P.T
• Sandra Lynn Kappes, DPT
• Thomas P Kappes, DC

• Physical Therapist in Berlin, MD
• Providers in Berlin, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.