Individual provider Active NPI

Luke Taylor Robertson, PT, DPT

  • Clinical Electrophysiology Physical Therapist
  • Madisonville, KY
National Provider Identifier
1447959606
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT016887 Issued in GA
Practice address
900 Hospital Dr FL 5
Madisonville, KY 42431-1644
Phone
(270) 825-5100
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X CP048384T PA
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 007777 KY
Clinical Electrophysiology Physical Therapist 2251E1300X PT016887 GA Primary

Addresses

Primary practice location

900 Hospital Dr FL 5
Madisonville, KY 42431-1644

Mailing address

1008 Village CT
Henderson, KY 42420-2252
Phone (270) 903-8011

Other practice location 1

4216 Washington Rd Ste 2
Evans, GA 30809-4717
Phone (470) 809-1581

Other practice location 2

1556 E Forsyth St Ste A
Americus, GA 31709-3334
Phone (470) 809-1581

Other practice location 3

1095 Million Dollar Hwy Ste 3
Saint Marys, PA 15857-2743
Phone (412) 787-3293

Other practice location 4

4372 Route 6
Kane, PA 16735-3060
Phone (412) 787-3293

Other practice location 5

1107 Greer St Ste A
Cordele, GA 31015-1921
Phone (470) 809-1581

Other practice location 6

116 Interstate Pkwy Ste 32
Bradford, PA 16701-1036
Phone (412) 787-3293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205001380 GA Practitioner - Physical Therapist in Private Practice 0648644195 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016887GAMDClinical Electrophysiology Physical Therapist
CP048384TPAMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Orthopedic Physical Therapy, Inc. Single Specialty Past Accepting new patients
Baptist Health Madisonville Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1447959606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 VILLAGE CT",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202252",
            "telephone_number": "270-903-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR FL 5",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-825-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4216 Washington Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308094717",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1556 E Forsyth St Ste A",
            "address_purpose": "LOCATION",
            "city": "Americus",
            "state": "GA",
            "postal_code": "317093334",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Million Dollar Hwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "PA",
            "postal_code": "158572743",
            "country_code": "US",
            "telephone_number": "412-787-3293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4372 Route 6",
            "address_purpose": "LOCATION",
            "city": "Kane",
            "state": "PA",
            "postal_code": "167353060",
            "country_code": "US",
            "telephone_number": "412-787-3293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Greer St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310151921",
            "country_code": "US",
            "telephone_number": "470-809-1581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "116 Interstate Pkwy Ste 32",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011036",
            "country_code": "US",
            "telephone_number": "412-787-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LUKE",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "PA",
            "license": "CP048384T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007777",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT016887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.