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

Timothy Greendyk

Individual provider Physical Therapist · NPI 1255079646

Timothy Greendyk is a Physical Therapist in Private Practice in Lodi, New Jersey. Qualified in 2022, 4 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
4
Licensed in
NJ
In the registry since
2022
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Practice location Address checks out

121 S Main St Ste B
Lodi, NJ 07644-2212
Phone: (973) 313-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (NJ)

Record details

NPI number1255079646
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 25, 2022
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022
Mailing address576 Broadhollow Rd, Melville, NY 11747-5002

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lodi