Provider Demographics
NPI:1629965165
Name:HALL, THOMAS J JR (PT, DPT)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:J
Last Name:HALL
Suffix:JR
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 MORRIS TPKE STE 2A
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-5007
Mailing Address - Country:US
Mailing Address - Phone:908-598-9009
Mailing Address - Fax:
Practice Address - Street 1:60 MORRIS TPKE STE 2A
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-5007
Practice Address - Country:US
Practice Address - Phone:908-598-9009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02323200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist