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

Maricris Formoso-Santos, PT

Individual provider Physical Therapist · NPI 1427284025

Maricris Formoso-Santos, PT is a Physical Therapist in Private Practice in Fair Lawn, New Jersey. Qualified in 1998, 28 years ago. Practices with Tamayo Physical Therapy PC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
28
Licensed in
NJ, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

9-11 Westmoreland Ave # 401
Fair Lawn, NJ 07410-1923
Phone: (646) 918-4670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3222 92nd St, East Elmhurst, NY 11369-2460 — (646) 918-4670

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 028196-1 (NY)
Physical Therapist Taxonomy 225100000X · Licence 40QA01313000 (NJ)

Record details

NPI number1427284025
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 9, 2009
Last updated in NPPESFebruary 8, 2021
Certification dateFebruary 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Tamayo Physical Therapy Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fair Lawn