Stephan Stasiuk, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02293700 Issued in NJ

Practice address

266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354

Phone

(973) 750-0880

NPI assigned

Sep 19, 2024

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Out of the Box Physical TherapyGroup PAC ID 9335472034, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Out of the Box Physical Therapy

  • Physical Therapist
  • Cedar Knolls, NJ
  • NPI 1205305257
  Medicare reassignment Care Compare group NPD
• Sportsmed PT LLC

  • Physical Therapist
  • Glen Rock, NJ
  • NPI 1841787645
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1194552406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 200",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523354",
            "telephone_number": "973-750-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIUK",
        "first_name": "STEPHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02293700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sportsmed Acupunture of New Jersey, LLC (SportsMed Physical Therapy)
• Sportsmed Chiropractic of New Jersey, LLC (SportsMed Physical Therapy)
• Sportsmed of Glen Rock PA
• Sportsmed PT LLC
• Marianna Stas, M.S., CF-SLP
• Steprite Medical Transportation
• Gail Suchanski, SLP-CCC
• Sung Lim Acupuncture, LLC
• Thomas Supko Jr.
• Kwesi Owusu Tabiri, DC

• Physical Therapist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.