Organization Active NPI

Sage Performance LLC

  • Physical Therapist
  • Collingswood, NJ
National Provider Identifier
1356211353
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SAGE PERFORMANCE LLC
Practice address
900 Haddon Ave Ste 106
Collingswood, NJ 08108-2110
Phone
(856) 481-8810
Fax
(856) 593-1951
NPI assigned
Nov 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Dr. Saige Ovain Gomez, PT, DPTNPI 1790560472
Title
Owner
Phone
(856) 481-8810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

900 Haddon Ave Ste 106
Collingswood, NJ 08108-2110

Mailing address

900 Haddon Ave Ste 106
Collingswood, NJ 08108-2110
Phone (856) 481-8810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210000397 NJ Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608360433 Receives reassigned benefits from 1 practitioner
Practice locations: Collingswood, NJ

National Provider Directory

National Provider Directory

Locations

900 Haddon Ave
Ste 106
Collingswood, NJ 08108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1356211353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 106",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082110",
            "telephone_number": "856-481-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HADDON AVE STE 106",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081082110",
            "telephone_number": "856-481-8810",
            "fax_number": "856-593-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SAIGE",
        "authorized_official_middle_name": "OVAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-481-8810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.