TIMOTHY O'CONNOR (PT, DPT) – Physical Therapist, NPI 1023575636
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIMOTHY O'CONNOR (PT, DPT)
12, Ramapo Road, Pompton Plains, Pequannock, Pequannock Township, Morris County, New Jersey, 07444, United States
POMPTON PLAINS, NJ 074441307
Phone: (973) 668-6942
Type: Mailing
5644 STRAWBERRY HILL DR APT C
CHARLOTTE, NC 282114558
Phone: (973) 668-6942
Type: Mailing
412 W PALMER ST
CHARLOTTE, NC 282034042
Phone: (980) 987-7885
Fax: (949) 655-8592
Type: Location
28, Farview Terrace, Paramus, Bergen County, New Jersey, 07652, United States
PARAMUS, NJ 076522740
Phone: (201) 880-9810
Fax: (201) 880-9812
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-01-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220125000193 | I | Physical Therapist In Private Practice | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07444)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NJ | |
| - | NJ | |
| - | NJ | |
| - | NJ | |
| Physical Therapist In Private Practice | NJ | |
| Occupational Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | NJ |
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