SUSAN D. TACK (PT) – Physical Therapist, NPI 1477731610

SUSAN D. TACK (PT) is a healthcare provider. based in Hudson, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 7024 (MA). The NPI Number for SUSAN D. TACK (PT) is 1477731610

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN D. TACK (PT)
NPI
1477731610
Phone
(978) 567-9266
Address
16 WELLINGTON DR
Enumeration Date
8 February 2008
Last Update Date
29 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
7810075801
Professional Enrollment ID
I20080416000122
Address ID
MA017521855MA65XXXWXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for SUSAN D. TACK (PT)

  • 16, Wellington Drive, Hudson, Middlesex County, Massachusetts, 01749, United States

    HUDSON, MA 017491120

    Phone: (978) 567-9266

    Type: Mailing

  • 800, Main Street, Chaffinville, Dawson, Holden, Worcester County, Massachusetts, 01520, United States

    UNIT 9

    HOLDEN, MA 015201838

    Phone: (508) 829-3113

    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: 2008-04-16

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
I20080416000122IPhysical Therapist In Private PracticeMATBD

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
97140Therapy procedure using manual technique, each 15 minutes15821$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes9917$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care9816$0
97035Application of ultrasound, each 15 minutes5811$0
97162Evaluation for physical therapy, typically 30 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 01749)

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Reviews

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Frequently asked questions

Is SUSAN D. TACK (PT) listed with a National Provider Identifier?
Yes — SUSAN D. TACK (PT) has NPI 1477731610 on file in the registry.
Would SUSAN D. TACK (PT) appear as active to a payer?
You can treat SUSAN D. TACK (PT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for SUSAN D. TACK (PT)?
At a glance, SUSAN D. TACK (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SUSAN D. TACK (PT)?
Travel planning: use Hudson, Massachusetts as the reference point for SUSAN D. TACK (PT), then confirm.
When was this NPI issued?
Enumeration for SUSAN D. TACK (PT) is noted as February 8, 2008 where the registry provides it.

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