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

Timothy Gannon, PTA

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1346705803

Timothy Gannon, PTA is a Physical Medicine & Rehabilitation Physician in Somerset, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

380 Demott Ln
Somerset, NJ 08873-2762
Phone: (800) 571-6511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 40QB00317700 (NJ)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 40QB00317700 (NJ)

Record details

NPI number1346705803
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 8, 2019
Last updated in NPPESFebruary 8, 2019
Mailing addressPo Box 991, Malaga, NJ 08328-0991

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