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, 2019Accepts Medicare Assignment
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 25, 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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Tesse Maciejko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
320 MAYVILLE RD, #2
Bethel, ME 04217
  • Reassigned Medicare billing, Maine enrollment
  • 160 clinicians in this Medicare group
Rehabilitation
9053 ESTATE THOMAS, ROYAL PALM PROFESSIONAL BUILDING, STE 206
St Thomas, VI 00802
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98862 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Which organizations bill Medicare for Tesse Maciejko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tesse Maciejko reassigns Medicare benefits to 2 organizations: Saco Bay Orthopaedic And Sports Physical Therapy, Inc. (Bethel, ME) and Cog Restore, LLC (St Thomas, VI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tesse Maciejko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 39 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.