Organization Active NPI

Stages Pediatric Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Ocean, NJ
National Provider Identifier
1558253294
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
STAGES PEDIATRIC PHYSICAL THERAPY LLC
Practice address
1309 Allaire Ave Ste a
Ocean, NJ 07712-3555
Phone
(732) 889-9660
NPI assigned
Jul 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Gary McDonald
Title
Clinical Director
Phone
(732) 889-9660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1309 Allaire Ave Ste a
Ocean, NJ 07712-3555

Mailing address

1309 Allaire Ave Ste a
Ocean, NJ 07712-3555
Phone (732) 889-9660

National Provider Directory

National Provider Directory
Tax ID family
Stages Pediatric Physical Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1558253294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 ALLAIRE AVE STE A",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123555",
            "telephone_number": "732-889-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 ALLAIRE AVE STE A",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123555",
            "telephone_number": "732-889-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGES PEDIATRIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "732-889-9660"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.