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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL FORMISANO, PT, DPT, OCS

Active Sole Proprietor

DR. MICHAEL FORMISANO, PT, DPT, OCS is a Physical Therapy Assistant healthcare provider located in TEANECK, New Jersey. NPI 1902029242 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · TEANECK, NJ

Registration Details

NPI Number
1902029242
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2007 (19.306430895882 yrs)
Last Updated
Jul 14, 2023
License
40QA01081900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1029 TEANECK RD STE 2E
TEANECK, NJ, 076664514
Browse NJ providers · Browse ZIP 07666
Phone
5512469340
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in TEANECK, NJ

Name Credential NPI
ELVIRA J NAFPLIOTIS PT 1720034366
MS. SHARLA SUE SCHWARTZ PT 1568406353
MITCHELL E SIMPSON MS, PT 1346346293
MRS. KOREN MONTALBANO MPT 1871690107
MS. DINA KATZ PT 1508937012
MR. STEPHEN KNOWLES CHURCHILL 1689742025
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.