Sunesh Kumar Reddy Bandi, DOCTOR OF PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38964 Issued in CA

Practice address

42873 Everglades Park Dr
Fremont, CA 94538-3977

Phone

(909) 232-6719

NPI assigned

Aug 2, 2016

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 identifiers 1

Electronic endpoints 1

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1770036113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42873 EVERGLADES PARK DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383977",
            "telephone_number": "909-232-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42873 EVERGLADES PARK DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945383977",
            "telephone_number": "909-232-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDI",
        "first_name": "SUNESH",
        "middle_name": "KUMAR REDDY",
        "credential": "DOCTOR OF PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P.T BOARD OF CALIFORNIA",
            "identifier": "38964",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Confidential",
            "address_1": "42873 Everglades Park Dr",
            "city": "Fremont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945383977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ayodeji Adetunji Bamisaye
• Emilia Banard, PA
• Kristen Banchieri
• Cienna Bancroft
• Chaitanya Bandarupalli, DDS
• Mark Banez
• Co V Banh, MD
• Shilpi Banka
• Lily Efua Bankas
• Chamari Aniyah Banks

• Physical Therapist in Fremont, CA
• Providers in Fremont, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.