TATE BESOUGLOFF
NPI 1639806417
Physical Therapist in Marysville, WA
About Tate Besougloff NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATE BESOUGLOFF (NPI 1639806417) is an individual physical therapist in Marysville, Washington, licensed in California (303980) and active in the NPI registry since August 2022. He maintains a secondary practice location in Watsonville and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tate Besougloff is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tate Besougloff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Auburn, WA 98002
- Reassigned Medicare billing, Washington enrollment
- 618 clinicians in this Medicare group
Truckee, CA 96161
- Reassigned Medicare billing, California enrollment
- 176 clinicians in this Medicare group
Ridgecrest, CA 93555
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Select Cs Physical Therapy PC
- 217 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tate Besougloff's NPI number?
The NPI number for Tate Besougloff is 1639806417. It was assigned to this individual provider in the NPPES registry on August 2, 2022.
Where is Tate Besougloff located?
Tate Besougloff practices at 1242 State Ave Ste A, Marysville, WA 98270. The listed phone number is (360) 572-5800.
What is Tate Besougloff's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Tate Besougloff enrolled in Medicare?
Yes. Tate Besougloff is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tate Besougloff's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tate Besougloff reassigns Medicare benefits to 3 organizations: Apple Physical Therapy, LLC (Auburn, WA), Select Cal Physical Therapy PC (Truckee, CA) and Select Cs Physical Therapy, P.C. (Ridgecrest, CA). 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 Tate Besougloff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tate Besougloff accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Tate Besougloff 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 Tate Besougloff was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Tate Besougloff · NPI 1639806417
Physical Therapist provider in Marysville, Washington. Individual provider, active in the CMS NPPES registry since August 2, 2022.
## Identity
- **NPI:** 1639806417 (Entity type: Individual)
- **Enumerated:** August 2, 2022
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1242 STATE AVE STE A, Marysville, WA 98270-3672
- **Phone:** (360) 572-5800 · **Fax:** (360) 454-9043
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Apple Physical Therapy, LLC (NPI 1902808470, Auburn, WA); Select Cal Physical Therapy PC (NPI 1699481127, Truckee, CA); Select Cs Physical Therapy, P.C. (NPI 1386228302, Ridgecrest, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639806417) · Data from the CMS NPPES public registry.