Dr. Michael Formisano, PT, DPT, OCS
Physical Therapist in Teaneck, New Jersey
1902029242- Practice location
- 1029 Teaneck RD Ste 2E, Teaneck, NJ 07666-4514
- Phone
- 551-246-9340
- Fax
- —
- Last updated
- July 14, 2023
Michael Formisano is a Physical Therapist based in Teaneck, NJ. Michael Formisano practices in Teaneck, NJ and has the professional credentials of PT, DPT, OCS. The NPI Number for Michael Formisano is 1902029242 and holds a License No. 40QA01081900 (NJ). The current practice location address for Michael Formisano is 1029 Teaneck RD Ste 2E, Teaneck, NJ 07666-4514 and can be reached out via phone at 551-246-9340.
Provider Profile Details
- NPI Number
- 1902029242
- Provider Name
- Michael Formisano
- Credential
- PT, DPT, OCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1029 Teaneck RD Ste 2E, Teaneck, NJ 07666-4514
- Phone Number
- 551-246-9340
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 11, 2007
- Last Update Date
- July 14, 2023
- Certification Date
- June 9, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1029 Teaneck RD Ste 2E
Teaneck, NJ 07666-4514 - City
- Teaneck
- State
- New Jersey
- Zip
- 07666-4514
- Phone Number
- 551-246-9340
Provider Business Mailing Address Details
- Address
- 3-18 Virginia Dr
Fair Lawn, NJ 07410-4727 - City
- Fair Lawn
- State
- NJ
- Zip
- 07410-4727
- Phone Number
- 201-887-2409
License Information
- License Number
- 40QA01081900
- License State
- NJ
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michael Formisano, PT, DPT, OCS?
The NPI number of Dr. Michael Formisano, PT, DPT, OCS is 1902029242. It was assigned on April 11, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael Formisano, PT, DPT, OCS?
Dr. Michael Formisano, PT, DPT, OCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NJ under license number 40QA01081900.
Where does Dr. Michael Formisano, PT, DPT, OCS practice?
The practice location is 1029 Teaneck RD Ste 2E, Teaneck, NJ 07666-4514. The office can be reached at 551-246-9340 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902029242 directly on the NPPES registry website.