Individual provider · Type 1 NPI

Timothy Gannon, PTA

Physical Therapy Assistant · Somerset, NJ

NPI number 1346705803 Active

Practice location

380 Demott Ln
Somerset, NJ 08873-2762

Call (800) 571-6511 Map

Mailing address

PO Box 991
Malaga, NJ 08328-0991

Specialties and licenses

TaxonomyCodeLicense
Physical Medicine & Rehabilitation Physician 208100000X40QB00317700 (NJ)
Physical Therapy Assistant Primary 225200000X40QB00317700 (NJ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1346705803

Timothy Gannon, PTA's National Provider Identifier is 1346705803, issued on Feb 8, 2019. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Somerset, NJ. The record was last updated on Feb 8, 2019.