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
Show map & directions

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

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