Individual provider · Type 1 NPI

Michael Antonio Formale, PTA

Physical Therapy Assistant · Nyack, NY

NPI number 1285401802 Active

Practice location

13A Dickinson Ave
Nyack, NY 10960-2914

Mailing address

70 Inwood Road
Scotchtown, NY 10941

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X013236 (NY)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1285401802

Michael Antonio Formale, PTA's National Provider Identifier is 1285401802, issued on Dec 4, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Nyack, NY. The record was last updated on Dec 4, 2023.