MATTHEW TYLER ROBERTSON (DPT) – Orthopedic Physical Therapist, NPI 1073370946

MATTHEW TYLER ROBERTSON (DPT) is a healthcare provider. based in Duluth, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. CP028145T (GA). The NPI Number for MATTHEW TYLER ROBERTSON (DPT) is 1073370946

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW TYLER ROBERTSON (DPT)
NPI
1073370946
Phone
(404) 355-0743
Address
3870 Pleasant Hill Rd
Enumeration Date
6 March 2024
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043550743
Graduation Year
2023 (3 years ago)
PAC ID
5890238729
Group Practice PAC ID
4587552963
Professional Enrollment ID
I20240620002081
Address ID
GA303091476AT2001XNEXX409
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MATTHEW TYLER ROBERTSON (DPT)

  • 3870 Pleasant Hill Rd

    Duluth, GA 300964807

    Phone: (404) 355-0743

    Type: Location

  • 6 SAINT CLAIRE LN NE

    ATLANTA, GA 303242960

    Phone: (919) 610-6249

    Type: Mailing

  • 5505 PEACHTREE DUNWOODY RD

    ATLANTA, GA 303421705

    Phone: (404) 355-0743

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240620002081IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30096)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587552963View full group profile
NameSpecialtyState
Physician AssistantGA
Orthopedic Surgery, Hand SurgeryGA
Physician AssistantGA
Physician AssistantGA
Physical Therapist In Private PracticeFL
-GA
Orthopedic SurgeryPA
Physical Therapist In Private PracticeGA
Physician AssistantGA
-GA

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Frequently asked questions

What number should I use to identify MATTHEW TYLER ROBERTSON (DPT) for billing?
Administrative and clinical systems typically use NPI 1073370946 for MATTHEW TYLER ROBERTSON (DPT).
Quick check: is MATTHEW TYLER ROBERTSON (DPT) active?
Public NPPES data shows MATTHEW TYLER ROBERTSON (DPT) with an active NPI status right now.
Which specialty label fits MATTHEW TYLER ROBERTSON (DPT)?
NPPES ties MATTHEW TYLER ROBERTSON (DPT) to Orthopedic Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MATTHEW TYLER ROBERTSON (DPT)?
MATTHEW TYLER ROBERTSON (DPT) shows a connection to Duluth, Georgia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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