Individual provider Active NPI

Jenna C Peter, PT, DPT

  • Physical Therapist
  • Parkville, MD
National Provider Identifier
1245839448
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28079 Issued in MD
Practice address
8813 Waltham Woods Rd Ste 103
Parkville, MD 21234-2550
Phone
(410) 882-9999
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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 28079 MD Primary

Addresses

Primary practice location

8813 Waltham Woods Rd Ste 103
Parkville, MD 21234-2550

Mailing address

8813 Waltham Woods Rd Ste 103
Parkville, MD 21234-2550
Phone (410) 882-9999

Other names 1

  • Jenna Fiamingo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408000376 MD Practitioner - Physical Therapist in Private Practice 9436545969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Creek Therapy Associates LLCGroup PAC ID 4183536410, 8 clinicians

Practice addresses (Care Compare)

20 Mayo Rd
Suite 205
Edgewater, MD 21037-1442
Phone (410) 956-7868

8813 Waltham Woods Rd
Suite 103
Parkville, MD 21234-2550
Phone (410) 882-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28079MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Creek Therapy Associates LLC Physical Therapist CurrentSince Jan 19, 2024 Accepting new patients
McLaughlin Physical Therapy & Hand Rehabilitation PastSince Oct 1, 2020 Accepting new patients
McLaughlin Physical Therapy & Hand Rehabilitation Physical Therapist PastSince Oct 1, 2020 Accepting new patients

Locations

20 Mayo Rd
Ste 205
Edgewater, MD 21037
Phone (410) 384-9242

8813 Waltham Woods Rd
Ste 103
Parkville, MD 21234
Phone (410) 812-0170

Organizations & group practices 3

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1245839448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD STE 103",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342550",
            "telephone_number": "410-882-9999",
            "fax_number": "410-665-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 WALTHAM WOODS RD STE 103",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342550",
            "telephone_number": "410-882-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "JENNA",
        "middle_name": "C",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "28079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "FIAMINGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.