DIANE LOUISE ROBERTSON (PT, MTC) – Physical Medicine & Rehabilitation Physician, NPI 1164565354

DIANE LOUISE ROBERTSON (PT, MTC) is a healthcare provider. based in Columbia, Maryland. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, MTC. They hold a License No. 16845 (MD). The NPI Number for DIANE LOUISE ROBERTSON (PT, MTC) is 1164565354

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DIANE LOUISE ROBERTSON (PT, MTC)
NPI
1164565354
Phone
(410) 992-4146
Address
8508 MOON GLASS CT
Enumeration Date
15 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107990818
Graduation Year
1984 (42 years ago)
PAC ID
3971510421
Group Practice PAC ID
7618984162
Professional Enrollment ID
I20120124000271
Address ID
MD210756273EL6801XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,984 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MD

Provider Addresses for DIANE LOUISE ROBERTSON (PT, MTC)

  • 8508 MOON GLASS CT

    COLUMBIA, MD 210455630

    Phone: (410) 992-4146

    Type: Mailing

  • 6801 DOUGLAS LEGUM DR

    SUITE B

    ELKRIDGE, MD 210756273

    Phone: (410) 799-0818

    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: 2012-01-24

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
I20120124000271IPhysical Therapist In Private PracticeMDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes53329$0
97140Therapy procedure using manual technique, each 15 minutes42527$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes26822$0
97035Application of ultrasound, each 15 minutes8713$0
97162Evaluation for physical therapy, typically 30 minutes3628$0
View full utilization report →

Insurance plans in this area (ZIP 21045)

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Provider's Procedures

DIANE LOUISE ROBERTSON (PT, MTC) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMD97001Physical therapy evaluation4235

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: 7618984162View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeMD

Reviews

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Frequently asked questions

Can I use this page to confirm DIANE LOUISE ROBERTSON (PT, MTC)'s NPI?
Yes. DIANE LOUISE ROBERTSON (PT, MTC) is listed with NPI 1164565354 in the public NPI dataset.
Does the file indicate DIANE LOUISE ROBERTSON (PT, MTC) is practicing under active NPI?
Directory data currently reports DIANE LOUISE ROBERTSON (PT, MTC) as active.
What is DIANE LOUISE ROBERTSON (PT, MTC)'s specialty?
The listing groups DIANE LOUISE ROBERTSON (PT, MTC) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
Does DIANE LOUISE ROBERTSON (PT, MTC) list a practice location?
Patients near Columbia, Maryland may find DIANE LOUISE ROBERTSON (PT, MTC) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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