Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephan Stasiuk, DPT

Individual provider Physical Therapist · NPI 1194552406

Stephan Stasiuk, DPT is a Physical Therapist in Private Practice in Glen Rock, New Jersey. Qualified in 2024, 2 years ago. Practices with Out of the Box Physical Therapy, a 5-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

266 Harristown Rd Ste 200
Glen Rock, NJ 07452-3354
Phone: (973) 750-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02293700 (NJ)

Record details

NPI number1194552406
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 19, 2024
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address266 Harristown Rd Ste 200, Glen Rock, NJ 07452-3354

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Out Of The Box Physical Therapy — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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