Luke Michael Privette, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018491 Issued in MI

Practice address

4351 24TH Ave Ste 1
Fort Gratiot, MI 48059

Phone

(810) 385-7405

NPI assigned

Feb 6, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Munger Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Fort Gratiot, MI
  • NPI 1548428626

  MI, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Therapy Solutions, Inc.

  • Physical Therapist
  • Spartanburg, SC
  • NPI 1235197914
  NPD
• Advanced Therapy Solutions, Inc.

  • Physical Therapist
  • Spartanburg, SC
  • NPI 1700055415
  NPD
• Munger Physical Therapy of Clinton Township, PLC

  • Physical Therapist
  • Clinton Township, MI
  • NPI 1497268460
  NPD (past)
• Ats Kids LLC

  • Occupational Therapist
  • Spartanburg, SC
  • NPI 1053204198

  Physical Therapist

  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munger Physical Therapy PLC 6 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MI, SC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1982103966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 24TH AVE STE 1",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "48059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 24TH AVE STE 1",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "48059",
            "telephone_number": "810-385-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVETTE",
        "first_name": "LUKE",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Powelson
• Rajat Prakash, M.D.
• Kimberly A Prevost
• Prime Garden City Medical Group
• Prime Healthcare Services-Port Huron, LLC
• Alexis Anne Pryor
• Pure Psychiatry of Michigan PLLC
• R&E Clinic P.C.
• Alicia Racz
• Savana Sky Raines

• All providers in Fort Gratiot, MI
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.