Active NPIIndividual providerSole proprietor

Thomas Supko Jr.

Physical Therapist in Glen Rock, New Jersey

NPI Number1508746751
Practice location
266 Harristown RD, Glen Rock, NJ 07452-3302
Fax
—
Last updated
October 24, 2025

Thomas Supko is a Physical Therapist based in Glen Rock, NJ. Thomas Supko practices in Glen Rock, NJ. The NPI Number for Thomas Supko is 1508746751 and holds a License No. 40QA02366300 (NJ). The current practice location address for Thomas Supko is 266 Harristown RD, Glen Rock, NJ 07452-3302 and can be reached out via phone at 201-445-7000.

Provider Profile Details

NPI Number
1508746751
Provider Name
Thomas Supko
Provider Entity Type
Individual
Gender
Male
Address
266 Harristown RD, Glen Rock, NJ 07452-3302
Phone Number
201-445-7000
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2025
Last Update Date
October 24, 2025
Certification Date
September 6, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
266 Harristown RD
Glen Rock, NJ 07452-3302
Zip
07452-3302
Phone Number
201-445-7000
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
9 1ST St
Oakland, NJ 07436-2001
City
Oakland
State
NJ
Zip
07436-2001

License Information

License Number
40QA02366300
License State
NJ
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Thomas Supko Jr.?

The NPI number of Thomas Supko Jr. is 1508746751. It was assigned on September 6, 2025 and is currently active in the NPPES registry.

What is the specialty of Thomas Supko Jr.?

Thomas Supko Jr. is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA02366300.

Where does Thomas Supko Jr. practice?

The practice location is 266 Harristown RD, Glen Rock, NJ 07452-3302. The office can be reached at 201-445-7000 (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 1508746751 directly on the NPPES registry website.

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