Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan Matthew Robertson, DPT

Individual provider Physical Therapist · NPI 1063912707

Ryan Matthew Robertson, DPT is a Physical Therapist in Private Practice in Southfield, Michigan. Qualified in 2013, 13 years ago. Practices with The Porretta Center for Orthopaedic Surgery, PLLC, a 23-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Licensed in
MI
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

22250 Providence Dr Ste 405
Southfield, MI 48075-6212
Phone: (866) 974-2673
Fax: (866) 939-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2700 E Grand River Ave, Howell, MI 48843-8550 — (517) 225-3040
  • 14800 Farmington Rd, Livonia, MI 48154-5461 — (734) 743-8880
  • 26750 Providence Pkwy Ste 240, Novi, MI 48374-1211 — (248) 687-7440
  • 27652 Franklin Rd, Southfield, MI 48034-8200 — (248) 359-8700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501017046 (MI)

Record details

NPI number1063912707
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 20, 2018
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice The Porretta Center For Orthopaedic Surgery, Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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