Individual provider Active NPI

Maria Carmela De Luna, DPT, ATC

  • Physical Therapist
  • Evergreen, CO
National Provider Identifier
1326296484
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0011519 Issued in CO
Practice address
30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984
Phone
(303) 674-1594
Fax
(303) 674-9870
NPI assigned
Sep 3, 2008
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 309524 CA
Physical Therapist 225100000X PTL.0011519 CO Primary
Physical Therapist 225100000X 24232 MD
Physical Therapist 225100000X 2305207196 VA

Addresses

Primary practice location

30940 Stagecoach Blvd # 110
Evergreen, CO 80439-7984

Mailing address

15202 Honsena Dr
Centreville, VA 20120-1420
Phone (732) 207-1242

Other practice location 1

6035 Burke Centre Pkwy Ste 300
Burke, VA 22015-3750
Phone (703) 978-3330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211209001719 DC Practitioner - Physical Therapist in Private Practice 9638237571 Reassigns benefits to 1 organization
I20260114003184 CA Practitioner - Physical Therapist in Private Practice 9638237571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

707 Lincoln Ctr
Stockton, CA 95207-2644
Phone (209) 478-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24232MDMDPhysical Therapist
2305207196VAMDPhysical Therapist
030471NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Jan 5, 2026 Accepting new patients
Alexandria Sports, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Alexandria Sports, Inc. PastSince May 11, 2025 Accepting new patients
Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC Physical Therapist PastSince Dec 7, 2025 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist PastSince Dec 11, 2013 Accepting new patients

Locations

707 Lincoln Ctr
Stockton, CA 95207
Phone (209) 470-5101

6035 Burke Centre Pkwy
Ste 300
Burke, VA 22015
Phone (703) 978-3300

9015 Silverbrook Rd
Ste 10
Fairfax Station, VA 22039
Phone (571) 475-0003

9015 Silverbrook Rd
Ste 103
Fairfax Station, VA 22039
Phone (571) 475-0003

9015 Silverbrook Rd
Ste 103104
Fairfax Station, VA 22039
Phone (571) 475-0003

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1326296484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15202 HONSENA DR",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201420",
            "telephone_number": "732-207-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30940 STAGECOACH BLVD # 110",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397984",
            "telephone_number": "303-674-1594",
            "fax_number": "303-674-9870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6035 Burke Centre Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Burke",
            "state": "VA",
            "postal_code": "220153750",
            "country_code": "US",
            "telephone_number": "703-978-3330",
            "fax_number": "703-978-6216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LUNA",
        "first_name": "MARIA",
        "middle_name": "CARMELA",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309524",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011519",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24232",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.