Individual provider Active NPI

Folasade Bangali, DPT

  • Physical Therapist
  • Upper Marlboro, MD
National Provider Identifier
1811394091
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25302 Issued in MD
Practice address
1221 Mercantile LN
Upper Marlboro, MD 20774-5374
Phone
(301) 618-5500
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25302 MD Primary

Addresses

Primary practice location

1221 Mercantile LN
Upper Marlboro, MD 20774-5374

Mailing address

2606 Box Tree Dr
Upper Marlboro, MD 20774-9305
Phone (301) 910-0341

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services LLC
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other Fox Rehabilitation Services LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180711000194 DC Practitioner - Physical Therapist in Private Practice 1052667714 Reassigns benefits to 2 organizations
I20201123001399 MD Practitioner - Physical Therapist in Private Practice 1052667714 Reassigns benefits to 1 organization
I20230815001982 VA Practitioner - Physical Therapist in Private Practice 1052667714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians
Fox Rehabilitation Services LLCGroup PAC ID 1355347410, 304 clinicians

Practice addresses (Care Compare)

5485 Westbard Ave
Bethesda, MD 20816-1408
Phone (240) 283-7094

9885 Greenbelt Rd
Lanham, MD 20706-2302
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25302MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jul 18, 2025 Accepting new patients
Fox Rehabilitation Services LLC Physical Therapist CurrentSince Nov 1, 2020 Accepting new patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients
Powerback Rehabilitation LLC Physical Therapist CurrentSince Jul 18, 2025 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Oct 28, 2025 Accepting new patients

Locations

5485 Westbard Ave
Bethesda, MD 20816
Phone (240) 283-7094

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

1106 Annapolis Rd
Ste 120
Odenton, MD 21113
Phone (410) 674-1650

1106 Annapolis Rd
Ste 130
Odenton, MD 21113
Phone (410) 295-8900

8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515

7 Carnegie Plz
Cherry Hill, NJ 08003

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

20 E Piccadilly St
Ste 1114
Winchester, VA 22601

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1811394091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 BOX TREE DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749305",
            "telephone_number": "301-910-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 MERCANTILE LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745374",
            "telephone_number": "301-618-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGALI",
        "first_name": "FOLASADE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "25302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3925 Downs Dr",
            "city": "Chantilly",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201513308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1221 Mercantile Ln",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207745374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehabilitation Services LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "9885 Greenbelt Rd",
            "city": "Lanham",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207062302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.