HALEY TASAICO (PT, DPT) – Physical Therapist, NPI 1336888411

HALEY TASAICO (PT, DPT) is a healthcare provider. based in Cambridge, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. The NPI Number for HALEY TASAICO (PT, DPT) is 1336888411

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
HALEY TASAICO (PT, DPT)
NPI
1336888411
Phone
(919) 616-8413
Address
872 MASSACHUSETTS AVE APT 605
Enumeration Date
27 May 2022
Last Update Date
27 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9075633145
Graduation Year
2017 (9 years ago)
PAC ID
5799163457
Group Practice PAC ID
3072618859
Professional Enrollment ID
I20230901000512
Address ID
AK995085230AN4100XPKWY467
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for HALEY TASAICO (PT, DPT)

  • 872 MASSACHUSETTS AVE APT 605

    CAMBRIDGE, MA 021393017

    Phone: (919) 616-8413

    Type: Mailing

  • 1242 STATE AVE STE A

    MARYSVILLE, WA 982703672

    Phone: (360) 572-5800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230901000512IPhysical Therapist In Private PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities43925$0
97161Evaluation for physical therapy, typically 20 minutes2625$0
View full utilization report →

Insurance plans in this area (ZIP 02139)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072618859View full group profile
NameSpecialtyState
Physician AssistantGA
Certified Nurse Midwife (Cnm)AK
-CO
General SurgeryAK
-AL
Physician AssistantAK
Physical Medicine And Rehabilitation, Sports MedicineAK
Physician AssistantAK
General SurgeryAK
-AK

Reviews

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Frequently asked questions

Does HALEY TASAICO (PT, DPT) have a public NPI I can cite?
Public records show HALEY TASAICO (PT, DPT) under NPI 1336888411.
Should I treat HALEY TASAICO (PT, DPT) as an active provider?
Patients and plans typically see HALEY TASAICO (PT, DPT) as active in the national extract.
How should patients interpret HALEY TASAICO (PT, DPT)'s specialty?
The extract shows Physical Therapist for HALEY TASAICO (PT, DPT). Clinical services aligned with this taxonomy classification.
What city is tied to HALEY TASAICO (PT, DPT)?
The directory associates HALEY TASAICO (PT, DPT) with Cambridge, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I export HALEY TASAICO (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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