Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS FORMICA, PTA
Active Sole ProprietorNICHOLAS FORMICA, PTA is a Physical Therapy Clinic healthcare provider located in OAK LAWN, Illinois. NPI 1679388060 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · OAK LAWN, IL
Registration Details
- NPI Number
- 1679388060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2025 (1.5128589713787 yrs)
- Last Updated
- Feb 11, 2025
- License
-
160010305 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4061 W 95TH STOAK LAWN, IL, 604532611Browse IL providers · Browse ZIP 60453
- Phone
- 6304699200
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.