Sakuntala Nisha Bhandaru, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304916 Issued in CA

Practice address

5601 W Slauson Ave Ste 125
Culver City, CA 90230-6588

Phone

(310) 912-7442

NPI assigned

May 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prosport Physical Therapy Professionals IncGroup PAC ID 0749510634, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Prosport Physical Therapy Professionals Inc

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1073170437

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Prosport Physical Therapy Professionals Inc

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1487648341
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1679210975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 125",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306588",
            "telephone_number": "310-912-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W SLAUSON AVE STE 125",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306588",
            "telephone_number": "310-912-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANDARU",
        "first_name": "SAKUNTALA",
        "middle_name": "NISHA",
        "name_prefix": "Dr.",
        "credential": "PT,  DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304916",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Beteta, D.C.
• Sherri Bethelmy
• Beverly Hills Medical Corporation
• Manjari Jaswant Bhakta, N.P.
• Sapan Bhakta, PHARMD, RPH
• Mukesh Bhatia, MD
• Tania Bhatia, D.O.
• Laveeza Bhatti, MD
• Madeline Bickel, SLP
• Big Fun Therapy and Recreational Services, LLC

• Physical Therapist in Culver City, CA
• Providers in Culver City, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.