Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TESSE LANE MACIEJKO DPT
NPI 1366092272
Physical Therapist in Winthrop, WA

Active since September 13, 2019
202 WHITE AVE, WINTHROP, WA 98862(509) 996-8234(509) 996-2193 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 25, 2026, Apr 2, 2026, Sep 13, 2019 (3 updates tracked since 2019).

About Tesse Lane Maciejko Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TESSE LANE MACIEJKO DPT (NPI 1366092272) is an individual physical therapist in Winthrop, Washington, licensed in Colorado (PTL.0016628) and active in the NPI registry since September 2019. She maintains 5 additional practice locations and is a graduate of Other (2019).

NPPES Registry Identity

NPI1366092272
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameTESSE LANE MACIEJKOCredential: DPT
Location Address202 WHITE AVEWinthrop, WA 98862-9774
Mailing Address202 White AveWinthrop, WA 98862-9774 · (509) 996-8234 · Fax (509) 996-2193
Fax(509) 996-2193
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 13, 2019
Last NPPES UpdateSeptember 25, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1366092272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in CO · PTL.0016628✔ Licensed in ME · PT7383✔ Licensed in AK · 196622✔ Licensed in WA · PT.PT.70135962✔ Licensed in MT · 21536✔ Licensed in VI · 318
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
202 WHITE AVE, Winthrop, WA 98862

Secondary Practice Locations 5

Location 1230 Dalton StreetHaines, AK 99827 · Phone (907) 766-6390 ext. 66027 · Fax (907) 766-6305
Location 2710 11th St NColumbus, MT 59019-7215 · Phone (406) 322-1000
Location 32525 N Broadway AveRed Lodge, MT 59068-9222 · Phone (406) 446-2345 · Fax (406) 446-0095
Location 4611 E Star Ct, Suite BMontrose, CO 81401-6704 · Phone (970) 249-1646 ext. 2863 · Fax (970) 249-8899
Location 59053 Estate Thomas Suite 206St. Thomas, VI 00802 · Phone (340) 779-9355 · Fax (340) 779-9350

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tesse Lane Maciejko Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911238191
PECOS Enrollment IDI20251222002811, I20260427000180

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
202 WHITE AVE
WINTHROP, WA 98862
Physical Therapist
202 WHITE AVE
WINTHROP, WA 98862
Physical Therapist
202 WHITE AVE
WINTHROP, WA 98862
Physical Therapist (Sports)
202 WHITE AVE
WINTHROP, WA 98862
Massage Therapist
202 WHITE AVE
WINTHROP, WA 98862
Physical Therapist
202 WHITE AVE
WINTHROP, WA 98862
Physical Therapist
202 WHITE AVE
WINTHROP, WA 98862

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tesse Maciejko's NPI number?

The NPI number for Tesse Maciejko is 1366092272. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Tesse Maciejko located?

Tesse Maciejko practices at 202 White Ave, Winthrop, WA 98862. The listed phone number is (509) 996-8234.

What is Tesse Maciejko's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tesse Maciejko enrolled in Medicare?

Yes. Tesse Maciejko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tesse Maciejko accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Tesse Maciejko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tesse Maciejko was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.