Individual provider Active NPI

Lydia Marie Peters, DPT

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1770028961
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26264 Issued in MD
Practice address
5411 W Cedar LN Ste 105a
Bethesda, MD 20814-1516
Phone
(301) 564-4040
Fax
(301) 564-3604
NPI assigned
Dec 27, 2016
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 294693 CA
Physical Therapist 225100000X 26264 MD Primary
Orthopedic Physical Therapist 2251X0800X 26264 MD

Addresses

Primary practice location

5411 W Cedar LN Ste 105a
Bethesda, MD 20814-1516

Mailing address

102 Whites Gap Rd
Berkeley Springs, WV 25411-6051
Phone (240) 405-5893

Other practice location 1

8380 Colesville Rd Ste 400
Silver Spring, MD 20910-6263
Phone (301) 563-3081

Other practice location 2

14999 Health Center Dr Ste 201
Bowie, MD 20716-1087
Phone (240) 245-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170420000414 DC Practitioner - Physical Therapist in Private Practice 4981980380 Reassigns benefits to 3 organizations
I20221128000017 MD Practitioner - Physical Therapist in Private Practice 4981980380 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Physical TherapyGroup PAC ID 9032169529, 16 clinicians

Practice addresses (Care Compare)

6410 Rockledge Dr
Suite 301
Bethesda, MD 20817-1841
Phone (301) 897-0357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26264MDMDClinical Social Worker
294693CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Mar 7, 2023 Accepting new patients
Bethesda Physical Therapy Physical Therapist CurrentSince Jul 26, 2025 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients
Maryland Sportscare & Rehab, LLC Physical Therapist CurrentSince Nov 9, 2022 Accepting new patients

Locations

1001 G St NW
Washington, DC 20001
Phone (202) 347-7745

5411 W Cedar Ln
Ste 105A
Bethesda, MD 20814
Phone (301) 251-4424

6410 Rockledge Dr
Ste 301
Bethesda, MD 20817
Phone (301) 520-3455

9815 Main St
Ste 206
Damascus, MD 20872
Phone (301) 253-6761

2987 Plaza Dr
Dunkirk, MD 20754
Phone (443) 964-6348

141 Thomas Johnson Dr
Ste 180
Frederick, MD 21702
Phone (301) 620-7478

25 Main St
Ste A
Reisterstown, MD 21136
Phone (410) 833-8300

1600 Wilson Blvd
Ste 102
Arlington, VA 22209
Phone (301) 464-4500

Organizations & group practices 4

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": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1770028961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WHITES GAP RD",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "254116051",
            "telephone_number": "240-405-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 W CEDAR LN STE 105A",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141516",
            "telephone_number": "301-564-4040",
            "fax_number": "301-564-3604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8380 Colesville Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209106263",
            "country_code": "US",
            "telephone_number": "301-563-3081",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14999 Health Center Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207161087",
            "country_code": "US",
            "telephone_number": "240-245-4245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LYDIA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "294693",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "26264",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "26264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.