Timothy Gannon, PTA
Physical Therapy Assistant in Somerset, New Jersey
1346705803- Practice location
- 380 Demott Ln, Somerset, NJ 08873-2762
- Phone
- 800-571-6511
- Fax
- —
- Last updated
- February 8, 2019
Timothy Gannon is a Physical Therapy Assistant based in Somerset, NJ. Timothy Gannon practices in Somerset, NJ and has the professional credentials of PTA. The NPI Number for Timothy Gannon is 1346705803 and holds a License No. 40QB00317700 (NJ). The current practice location address for Timothy Gannon is 380 Demott Ln, Somerset, NJ 08873-2762 and can be reached out via phone at 800-571-6511.
Provider Profile Details
- NPI Number
- 1346705803
- Provider Name
- Timothy Gannon
- Credential
- PTA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 380 Demott Ln, Somerset, NJ 08873-2762
- Phone Number
- 800-571-6511
- Primary Taxonomy
- Physical Therapy Assistant · 225200000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 8, 2019
- Last Update Date
- February 8, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 380 Demott Ln
Somerset, NJ 08873-2762 - City
- Somerset
- State
- New Jersey
- Zip
- 08873-2762
- Phone Number
- 800-571-6511
Provider Business Mailing Address Details
- Address
- Po Box 991
Malaga, NJ 08328-0991 - City
- Malaga
- State
- NJ
- Zip
- 08328-0991
- Phone Number
- 865-278-7578
License Information
- License Number (1)
- 40QB00317700
- License State (1)
- NJ
- Taxonomy (1)
- Physical Medicine & Rehabilitation · 208100000X
- License Number (2)
- 40QB00317700
- License State (2)
- NJ
- Taxonomy (2)
- Physical Therapy Assistant · 225200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapy Assistants near Somerset, NJ
View all Physical Therapy Assistants in Somerset →- Diane G Herriott, LPTAPhysical Therapy Assistant · NPI 1225203573
- Gina N Germann, PTAPhysical Therapy Assistant · NPI 1669848107
- Kathleen Morales, PTAPhysical Therapy Assistant · NPI 1558763730
- Megan R Kress, PTAPhysical Therapy Assistant · NPI 1902580467
- Mr. Daniel A Kvenvik, PTAPhysical Therapy Assistant · NPI 1447707609
- Mr. Daniel J Mccarron, PTAPhysical Therapy Assistant · NPI 1457786287
Frequently Asked Questions
What is the NPI number of Timothy Gannon, PTA?
The NPI number of Timothy Gannon, PTA is 1346705803. It was assigned on February 8, 2019 and is currently active in the NPPES registry.
What is the specialty of Timothy Gannon, PTA?
Timothy Gannon, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in NJ under license number 40QB00317700.
Where does Timothy Gannon, PTA practice?
The practice location is 380 Demott Ln, Somerset, NJ 08873-2762. The office can be reached at 800-571-6511 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346705803 directly on the NPPES registry website.