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

Mr. Michael Antonio Formale, PTA

Individual provider Physical Therapy Assistant · NPI 1285401802

Mr. Michael Antonio Formale, PTA is a Physical Therapy Assistant in Nyack, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

13A Dickinson Ave
Nyack, NY 10960-2914
Phone: (845) 353-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 013236 (NY)

Record details

NPI number1285401802
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 4, 2023
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023
Mailing address70 Inwood Road, Scotchtown, NY 10941

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