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

Thomas Supko Jr.

Individual provider Physical Therapist · NPI 1508746751

Thomas Supko Jr. is a Physical Therapist in Private Practice in Glen Rock, New Jersey. Qualified in 2025, 1 year ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2025
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Practice location Address checks out

266 Harristown Rd
Glen Rock, NJ 07452-3302
Phone: (201) 445-7000
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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 40QA02366300 (NJ)

Record details

NPI number1508746751
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 6, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 6, 2025
Mailing address9 1st St, Oakland, NJ 07436-2001

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Glen Rock