LUKE MICHAEL PRIVETTE (DPT) – Physical Therapist, NPI 1982103966

LUKE MICHAEL PRIVETTE (DPT) is a healthcare provider. based in Fort gratiot, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 5501018491 (MI). The NPI Number for LUKE MICHAEL PRIVETTE (DPT) is 1982103966

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
LUKE MICHAEL PRIVETTE (DPT)
NPI
1982103966
Phone
Not provided
Address
4351 24TH AVE STE 1
Enumeration Date
6 February 2018
Last Update Date
6 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8103857405
Graduation Year
2017 (9 years ago)
PAC ID
0749541092
Group Practice PAC ID
6204906852
Professional Enrollment ID
I20180228002682
Address ID
MI480594506FO4351XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for LUKE MICHAEL PRIVETTE (DPT)

  • 4351 24TH AVE STE 1

    FORT GRATIOT, MI 48059

    Phone:

    Mailing address matches the actual address.

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: 2023-12-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180228002682IPhysical Therapist In Private PracticeMITBD
I20231211000519IPhysical Therapist In Private PracticeSCTBD

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 minutes4313$0
View full utilization report →

Insurance plans in this area (ZIP 48059)

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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: 6204906852View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for LUKE MICHAEL PRIVETTE (DPT)?
LUKE MICHAEL PRIVETTE (DPT) — NPI 1982103966 — is the standard way to identify this listing.
Can I rely on LUKE MICHAEL PRIVETTE (DPT) being an active provider?
As of the registry snapshot, LUKE MICHAEL PRIVETTE (DPT) is marked active.
What is LUKE MICHAEL PRIVETTE (DPT)'s primary classification?
Physical Therapist is the headline specialty for LUKE MICHAEL PRIVETTE (DPT) here. Clinical services aligned with this taxonomy classification.
Where should I expect LUKE MICHAEL PRIVETTE (DPT) on a map?
Expect Fort Gratiot, Michigan as a primary anchor for LUKE MICHAEL PRIVETTE (DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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