Individual provider · Type 1 NPI

Nicholas Formica, PTA

Physical Therapy Clinic/Center · Oak Lawn, IL

NPI number 1679388060 Active

Practice location

4061 W 95th St
Oak Lawn, IL 60453-2611

Mailing address

8825 S Kolmar Ave
Hometown, IL 60456-1027

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000X160010305 (IL)

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

26 other providers at this address

About NPI 1679388060

Nicholas Formica, PTA's National Provider Identifier is 1679388060, issued on Feb 11, 2025. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Oak Lawn, IL. The record was last updated on Feb 11, 2025.