MR. ROBBY S LUCK (PT) – Physical Therapist, NPI 1063568533

MR. ROBBY S LUCK (PT) is a healthcare provider. based in Taylorsville, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 63179552401 (UT). The NPI Number for MR. ROBBY S LUCK (PT) is 1063568533

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBBY S LUCK (PT)
NPI
1063568533
Phone
(801) 967-6055
Address
5547 S 4015 W
Enumeration Date
26 January 2007
Last Update Date
22 August 2007

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
8013144100
Graduation Year
2006 (20 years ago)
PAC ID
7113025248
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20070613000202
Address ID
UT841076157MU5848X300X300
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

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

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Provider Addresses for MR. ROBBY S LUCK (PT)

  • 5547, 4015 West, Taylorsville, Salt Lake County, Utah, 84129, United States

    #7

    TAYLORSVILLE, UT 841184429

    Phone: (801) 967-6055

    Fax: (801) 967-6934

    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: 2007-06-13

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
I20070613000202IPhysical Therapist In Private PracticeUTTBD

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 minutes55441$0
97161Evaluation for physical therapy, typically 20 minutes2928$0
97140Therapy procedure using manual technique, each 15 minutes2411$0
View full utilization report →

Insurance plans in this area (ZIP 84118)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

How do payers reference MR. ROBBY S LUCK (PT)?
For MR. ROBBY S LUCK (PT), use NPI 1063568533 as the unique 10-digit identifier.
Is MR. ROBBY S LUCK (PT) shown as active in public data?
Registry records indicate MR. ROBBY S LUCK (PT) maintains an active NPI.
How would a patient describe MR. ROBBY S LUCK (PT)'s focus?
For MR. ROBBY S LUCK (PT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. ROBBY S LUCK (PT) located near Taylorsville?
MR. ROBBY S LUCK (PT) currently maps to Taylorsville, Utah in this extract.
When was this NPI issued?
Enumeration for MR. ROBBY S LUCK (PT) is noted as January 26, 2007 where the registry provides it.

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