RYAN MATTHEW ROBERTSON (DPT) – Physical Therapist, NPI 1063912707

RYAN MATTHEW ROBERTSON (DPT) is a healthcare provider. based in Howell, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501017046 (MI). The NPI Number for RYAN MATTHEW ROBERTSON (DPT) is 1063912707

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
RYAN MATTHEW ROBERTSON (DPT)
NPI
1063912707
Phone
(517) 225-3040
Address
2700 E Grand River Ave
Enumeration Date
20 February 2018
Last Update Date
30 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2485630306
Graduation Year
2013 (13 years ago)
PAC ID
2567715022
Group Practice PAC ID
2860585544
Professional Enrollment ID
I20181030002365
Address ID
MI480756212SO22250DRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for RYAN MATTHEW ROBERTSON (DPT)

  • 2700 E Grand River Ave

    Howell, MI 488438550

    Phone: (517) 225-3040

    Fax: (517) 225-3045

    Type: Location

  • 26750 Providence Pkwy Ste 240

    Novi, MI 483741211

    Phone: (248) 687-7440

    Fax: (248) 687-7441

    Type: Location

  • 14800 Farmington Rd

    Livonia, MI 481545461

    Phone: (734) 743-8880

    Fax: (734) 743-8889

    Type: Location

  • Telegraph Road, Taylor, Wayne County, Michigan, 48125, United States

    TAYLOR, MI 481802316

    Phone: (313) 295-0218

    Fax: (313) 295-0247

    Type: Mailing

  • 27652 Franklin Rd

    Southfield, MI 480348200

    Phone: (248) 359-8700

    Fax: (248) 359-8703

    Type: Location

  • 22250 PROVIDENCE DR STE 405

    SOUTHFIELD, MI 480756212

    Phone: (866) 974-2673

    Fax: (866) 939-2673

    Type: Location

  • 18444 N 25TH AVE STE 310

    PHOENIX, AZ 850231266

    Phone: (866) 974-2673

    Fax: (866) 939-2673

    Type: Mailing

  • 33900 HARPER AVE STE 104

    CLINTON TWP, MI 480354258

    Phone:

    Type: Mailing

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: 2018-10-30

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
I20181030002365IPhysical Therapist In Private PracticeMITBD

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 minutes3,272148$0
97140Therapy procedure using manual technique, each 15 minutes1,115145$0
97161Evaluation for physical therapy, typically 20 minutes7773$0
97164Re-evaluation for physical therapy, typically 20 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 48843)

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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: 2860585544View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
-AZ
Physical Therapist In Private PracticeMI
Anesthesiology, Pain ManagementAZ
Physical Therapist In Private PracticeIL
-AZ
Physical Therapist In Private PracticeAZ
P O D I A T R YMI
-AZ
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Where can patients find RYAN MATTHEW ROBERTSON (DPT)'s NPI?
You can confirm RYAN MATTHEW ROBERTSON (DPT) with NPI 1063912707; it appears in the national provider directory.
Is RYAN MATTHEW ROBERTSON (DPT)'s NPI currently valid?
The extract we use shows RYAN MATTHEW ROBERTSON (DPT) as active.
What kind of provider is RYAN MATTHEW ROBERTSON (DPT)?
The page reflects Physical Therapist for RYAN MATTHEW ROBERTSON (DPT). Clinical services aligned with this taxonomy classification.
Where is RYAN MATTHEW ROBERTSON (DPT)'s primary listing?
We display Howell, Michigan because that is what the record indicates for RYAN MATTHEW ROBERTSON (DPT).
How can I contact RYAN MATTHEW ROBERTSON (DPT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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