Organization Active NPI

Stagg Performance Physical Therapy

  • Physical Therapist
  • Scarborough, ME
National Provider Identifier
1699633420
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
STAGG PERFORMANCE PHYSICAL THERAPY
Practice address
200 Expedition Dr Ste 1a
Scarborough, ME 04074-5514
Phone
(207) 205-0853
Fax
(877) 685-0065
NPI assigned
Jan 12, 2026
Last updated
Jan 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Mrs. Brianna Stagg, DPT
Title
Owner
Phone
(207) 205-0853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

200 Expedition Dr Ste 1a
Scarborough, ME 04074-5514

Mailing address

200 Expedition Dr Ste 1a
Scarborough, ME 04074-5514
Phone (207) 205-0853

National Provider Directory

National Provider Directory

Locations

200 Expedition Dr
Ste 1A
Scarborough, ME 04074
Phone (207) 205-0853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1768176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1699633420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EXPEDITION DR STE 1A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745514",
            "telephone_number": "207-205-0853",
            "fax_number": "877-685-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EXPEDITION DR STE 1A",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040745514",
            "telephone_number": "207-205-0853",
            "fax_number": "877-685-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAGG PERFORMANCE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-12",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "STAGG",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-205-0853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; 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.