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

Tesse Lane Maciejko, DPT

Individual provider Physical Therapist · NPI 1366092272

Tesse Lane Maciejko, DPT is a Physical Therapist in Private Practice in Montrose, Colorado. Qualified in 2019, 7 years ago. Practices with Saco Bay Orthopaedic and Sports Physical Therapy Inc, a 138-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Alaska, Colorado, Maine and Montana and 1 more.

Years since qualifying
7
Licensed in
AK, CO, ME, MT, VI
In the registry since
2019
Specialties on file
5
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

611 E Star Ct Ste B
Montrose, CO 81401-6704
Phone: (970) 249-1646
Fax: (970) 249-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 230 Dalton Street, Haines, AK 99827 — (907) 766-6390
  • 710 11th St N, Columbus, MT 59019-7215 — (406) 322-1000
  • 2525 N Broadway Ave, Red Lodge, MT 59068-9222 — (406) 446-2345
  • 9053 Estate Thomas Suite 206, St. Thomas, VI 00802 — (340) 779-9355

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL.0016628 (CO)
Physical Therapist Taxonomy 225100000X · Licence PT7383 (ME)
Physical Therapist Taxonomy 225100000X · Licence 196622 (AK)
Physical Therapist Taxonomy 225100000X · Licence 21536 (MT)
Physical Therapist Taxonomy 225100000X · Licence 318 (VI)

Record details

NPI number1366092272
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Saco Bay Orthopaedic And Sports Physical Therapy Inc — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Montrose