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

Timothy Dennis Gray

Individual provider Physical Therapist · NPI 1598432536

Timothy Dennis Gray is a Physical Therapist in Private Practice in Millburn, New Jersey. Qualified in 2021, 5 years ago. Practices with Sportscare of America, PC, a 132-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
5
Licensed in
NJ
In the registry since
2021
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Practice location Address checks out

239 Millburn Ave
Millburn, NJ 07041-1718
Phone: (862) 308-0222
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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 40QA02028200 (NJ)

Record details

NPI number1598432536
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 26, 2021
Last updated in NPPESAugust 26, 2021
Certification dateAugust 26, 2021
Mailing address460 Ridgewood Rd, Maplewood, NJ 07040-1127

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Sportscare Of America, Pc — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Millburn