Provider Demographics
NPI:1215922653
Name:SENSOR, J. TIMOTHY (ATC)
Entity type:Individual
Prefix:MR
First Name:J. TIMOTHY
Middle Name:
Last Name:SENSOR
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2284 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2157
Mailing Address - Country:US
Mailing Address - Phone:908-889-5990
Mailing Address - Fax:908-737-5455
Practice Address - Street 1:2284 OLD FARM RD
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2157
Practice Address - Country:US
Practice Address - Phone:908-889-5990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT000040002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer