Individual provider Active NPI

Beth Marie Staines, M.P.T.

  • Physical Therapist
  • Galloway, NJ
National Provider Identifier
1326120015
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01140800 Issued in NJ
Practice address
76 W Jimmie Leeds Rd Ste 401
Galloway, NJ 08205-9400
Phone
(609) 748-5193
Fax
(609) 748-5197
NPI assigned
Oct 20, 2006
Last updated
Jan 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01140800 NJ Primary

Addresses

Primary practice location

76 W Jimmie Leeds Rd Ste 401
Galloway, NJ 08205-9400

Mailing address

76 W Jimmie Leeds Rd Ste 401
Galloway, NJ 08205-9400
Phone (609) 748-5193

Other practice location 1

24 MacArthur Blvd
Somers Point, NJ 08244-1776
Phone (609) 927-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000015 NJ Practitioner - Physical Therapist in Private Practice 2365475423 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osprey Rehabilitation LLCGroup PAC ID 7214302264, 54 clinicians

Practice addresses (Care Compare)

76 W Jimmie Leeds Rd
Suite 401
Galloway, NJ 08205-9400
Phone (609) 748-5193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Nov 7, 2010 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Osprey Rehabilitation, LLC. Physical Therapist Current Accepting new patients
Rehabclinics SPT Inc. CurrentSince Oct 22, 2018 Accepting new patients
Orthonj LLC CurrentSince Mar 1, 2020 Accepting new patients
Osprey Rehabilitation, LLC. CurrentSince Apr 1, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Nov 7, 2010 Accepting new patients
Rehabclinics SPT, Inc. CurrentSince Oct 22, 2018 Accepting new patients

Locations

2500 English Creek Ave
Ste 1300
Egg Hbr Twp, NJ 08234
Phone (609) 677-6060

18 E Jimmie Leeds Rd
Galloway, NJ 08205
Phone (609) 404-3353

76 W Jimmie Leeds Rd
Ste 401
Galloway, NJ 08205
Phone (609) 748-5193

2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404

999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546

127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275

5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600

24 MacArthur Blvd
Somers Point, NJ 08244
Phone (609) 927-1991

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1326120015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD STE 401",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059400",
            "telephone_number": "609-748-5193",
            "fax_number": "609-748-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W JIMMIE LEEDS RD STE 401",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059400",
            "telephone_number": "609-748-5193",
            "fax_number": "609-748-5197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082441776",
            "country_code": "US",
            "telephone_number": "609-927-1991",
            "fax_number": "609-926-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAINES",
        "first_name": "BETH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01140800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.