Individual provider Active NPI

Karen Guyguyon Peralta, PT

  • Orthopedic Physical Therapist
  • Forestville, MD
National Provider Identifier
1770710881
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
20838 Issued in MD
Practice address
2950 Donnell Dr Ste G
Forestville, MD 20747-3277
Phone
(240) 492-3410
Fax
(301) 278-9852
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 20838 MD Primary

Addresses

Primary practice location

2950 Donnell Dr Ste G
Forestville, MD 20747-3277

Mailing address

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

Other practice location 1

7233 Hanover Pkwy Ste A
Capital Orthopaedic Specialists
Greenbelt, MD 20770-3600
Phone (301) 220-0828

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140228000078 DC Practitioner - Physical Therapist in Private Practice 1557591104 Reassigns benefits to 5 organizations
I20200624000449 MD Practitioner - Physical Therapist in Private Practice 1557591104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiocare Rehab & Wellness, LLC Orthopedic CurrentSince Jan 1, 2017 Accepting new patients
LHMG Physical Therapy, LLC CurrentSince Jun 1, 2020 Accepting new patients
Evidence Physical Therapy, LLC Orthopedic CurrentSince Feb 2, 2023 Accepting new patients
Ati Holdings, LLC Orthopedic CurrentSince Jan 16, 2023 Accepting new patients
Ati Holdings, LLC Orthopedic CurrentSince Jan 16, 2023 Accepting new patients
Maryland Luna Care Physical Therapy LLC CurrentSince Sep 5, 2024 Accepting new patients
LHMG Physical Therapy, LLC Orthopedic CurrentSince Jun 1, 2020 Accepting new patients
LHMG Physical Therapy, LLC Orthopedic Current Accepting new patients
Physiocare Rehab & Wellness, LLC CurrentSince Aug 6, 2019 Accepting new patients
Evidence Physical Therapy, LLC PastSince Feb 2, 2023 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

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

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

6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004

7651 Matapeake Business Dr
Ste 203
Brandywine, MD 20613
Phone (301) 782-4600

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

7801 Old Branch Ave
Ste 105
Clinton, MD 20735
Phone (301) 352-8370

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

2950 Donnell Dr
Ste G
Forestville, MD 20747
Phone (240) 492-3410

12150 Annapolis Rd
Ste 201
Glenn Dale, MD 20769
Phone (301) 352-8370

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

10631 Greenbelt Rd
Ste 303
Lanham, MD 20706
Phone (301) 383-2406

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

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

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

Organizations & group practices 10

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1770710881",
    "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": "2950 DONNELL DR STE G",
            "city": "FORESTVILLE",
            "state": "MD",
            "postal_code": "207473277",
            "telephone_number": "240-492-3410",
            "fax_number": "301-278-9852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7233 Hanover Pkwy Ste A",
            "address_2": "Capital Orthopaedic Specialists",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703600",
            "country_code": "US",
            "telephone_number": "301-220-0828",
            "fax_number": "301-220-0826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "KAREN",
        "middle_name": "GUYGUYON",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "20838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forestville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; 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.