Sri Lakshmi Vidhyadhari Bandaru, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

30719 Issued in MD

Practice address

7021 Martin Luther King Jr Hwy
Hyattsville, MD 20785-4016

Phone

(301) 341-4600

NPI assigned

Dec 12, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334
  NPD (past)
• Maryland Spine Rehab, LLC

  • Chiropractor
  • Dundalk, MD
  • NPI 1629251830
  NPD (past)

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1902760085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 CHERRY HILL RD APT 424",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 MARTIN LUTHER KING JR HWY",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854016",
            "telephone_number": "301-341-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDARU",
        "first_name": "SRI LAKSHMI VIDHYADHARI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Bakkar
• Marcus Akinola Balogun III, M.D.
• Michael Olusola Balogun
• Omotayo O Balogun
• Olufeyikemi Bamgbade
• Maurice Bangmou
• Alusine Bangura
• Memunatu Bangura, M.D.
• Agnes A Bannerman
• Ana Esmeralda Barbacena

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.