Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Formisano, PT, DPT, OCS

Individual provider Physical Therapist · NPI 1902029242

Dr. Michael Formisano, PT, DPT, OCS is a Physical Therapist in Private Practice in Teaneck, New Jersey. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
23
Licensed in
NJ
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1029 Teaneck Rd Ste 2E
Teaneck, NJ 07666-4514
Phone: (551) 246-9340
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01081900 (NJ)

Record details

NPI number1902029242
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , OCS
Sole proprietorYes
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 14, 2023
Certification dateJune 9, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Teaneck