Individual provider Active NPI

Cary Peralta, P.T.

  • Physical Therapist
  • Temple Hills, MD
National Provider Identifier
1033305958
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20583 Issued in MD
Practice address
4467 Old Branch Ave Ste 103
Temple Hills, MD 20748-1854
Phone
(301) 358-6155
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 870186 DC
Physical Therapist 225100000X 20583 MD Primary

Addresses

Primary practice location

4467 Old Branch Ave Ste 103
Temple Hills, MD 20748-1854

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090807000137 MD Practitioner - Physical Therapist in Private Practice 7113070202 Reassigns benefits to 1 organization
I20101014000174 DC Practitioner - Physical Therapist in Private Practice 7113070202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
870186DCMDPhysical Therapist
20583MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist CurrentSince Jun 1, 2020 Accepting new patients
LHMG Physical Therapy, LLC Physical Therapist Current Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Greater Metropolitan Orthopaedics Physical Therapist Past Accepting new patients
Orthopedic & Sports Physical Therapy Physical Therapist PastSince Jun 20, 2016 Accepting new patients
Capital Orthopaedic Specialists LLC Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

4000 Mitchellville Rd
Ste B116
Bowie, MD 20716
Phone (301) 464-4503

4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190

28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270

8116 Good Luck Rd
Ste 200
Lanham, MD 20706
Phone (301) 552-4131

8116 Good Luck Rd
Ste 205
Lanham, MD 20706
Phone (301) 552-4284

8638 Veterans Hwy
Fl 1
Millersville, MD 21108
Phone (410) 729-4508

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

820 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 544-6813

11271 New Hampshire Ave
Silver Spring, MD 20904
Phone (240) 485-1280

5801 Allentown Rd
Ste 200
Suitland, MD 20746
Phone (240) 842-1435

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1033305958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE STE 103",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-358-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "CARY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "870186",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.