Michael Stasik, PT,DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01916400 Issued in NJ

Practice address

766 Broad St
Shrewsbury, NJ 07702-4203

Phone

(855) 428-8246

Fax

(855) 428-8246

NPI assigned

Apr 24, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1285322750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 FORD AVE",
            "city": "MILLTOWN",
            "state": "NJ",
            "postal_code": "088501534",
            "telephone_number": "732-425-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 BROAD ST",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024203",
            "telephone_number": "855-428-8246",
            "fax_number": "855-428-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASIK",
        "first_name": "MICHAEL",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01916400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sarah Maccrae Stearns, PHD
• Syceria Tyesha-Michelle Stephens, APC-C
• Alexandra P Stessel, CCC-SLP
• Stillwater Medicine LLC
• Jessica Sophia Stos

• Physical Therapist in Shrewsbury, NJ
• Providers in Shrewsbury, 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 Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.