Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vardhan K Mudigonda, DPT

Individual provider Physical Therapist · NPI 1053616821

Vardhan K Mudigonda, DPT is a Physical Therapist in Private Practice in Germantown, Maryland. Qualified in 2009, 17 years ago. Practices with Professional Sportscare and Rehab LLC, a 103-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Maryland.

Years since qualifying
17
Licensed in
IL, MD
In the registry since
2011
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

19785 Crystal Rock Dr Ste 311
Germantown, MD 20874-4732
Phone: (301) 540-3529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 631 N Webster St, Naperville, IL 60563-3055 — (810) 343-0689
  • 2872 Us Highway 34, Oswego, IL 60543-8346 — (630) 554-8890

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 30337 (MD)
Physical Therapist Taxonomy 225100000X · Licence 070.016507 (IL)

Record details

NPI number1053616821
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 25, 2011
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Professional Sportscare And Rehab Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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