ROSEANNE TKACZUK PT, DPT
NPI 1720218274
Physical Therapist - Orthopedic in Seattle, WA

Active since July 18, 2009
8750 GREENWOOD AVE N, S-1, SEATTLE, WA 98103(206) 782-5789(206) 782-5794 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Roseanne Tkaczuk Pt, Dpt NPPES

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

ROSEANNE TKACZUK PT, DPT (NPI 1720218274) is an individual orthopedic provider in Seattle, Washington, licensed in Washington (60202045) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1720218274
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameROSEANNE TKACZUKCredential: PT, DPT
Location Address8750 GREENWOOD AVE N, S-1Seattle, WA 98103
Mailing Address8750 Greenwood Ave N, S-1Seattle, WA 98103 · (206) 782-5789 · Fax (206) 782-5794
Fax(206) 782-5794
Sole ProprietorNo
Enumeration DateJuly 18, 2009
Last NPPES UpdateJune 2, 2022
NPPES CertifiedJune 2, 2022
✔ NPI 1720218274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Licenses✔ Licensed in WA · 60202045✔ Licensed in VA · 2305206048
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
8750 GREENWOOD AVE N, S-1, Seattle, WA 98103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roseanne Tkaczuk Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Roseanne Tkaczuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 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.

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.

Physical Therapist
8750 GREENWOOD AVE N, S-1
SEATTLE, WA 98103
Physical Therapist
8750 GREENWOOD AVE N, S-1
SEATTLE, WA 98103

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 Roseanne Tkaczuk's NPI number?

The NPI number for Roseanne Tkaczuk is 1720218274. It was assigned to this individual provider in the NPPES registry on July 18, 2009.

Where is Roseanne Tkaczuk located?

Roseanne Tkaczuk practices at 8750 Greenwood Ave N, S-1, Seattle, WA 98103. The listed phone number is (206) 782-5789.

What is Roseanne Tkaczuk's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Roseanne Tkaczuk enrolled in Medicare?

Yes. Roseanne Tkaczuk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roseanne Tkaczuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roseanne Tkaczuk reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The 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 Roseanne Tkaczuk'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 Roseanne Tkaczuk was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.