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

Tatyana N Formuzal, PT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1821459553

Tatyana N Formuzal, PT is a Physical Medicine & Rehabilitation Physician in Carmichael, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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

5810 Jameson Ct Ste 1
Carmichael, CA 95608-0881
Phone: (916) 979-0621
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT291118 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence PT291118 (CA)

Record details

NPI number1821459553
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 8, 2016
Last updated in NPPESJuly 3, 2022
Certification dateJuly 3, 2022

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