NICHOLAS FORMICA PTA
NPI 1679388060
Clinic/Center - Physical Therapy in Oak Lawn, IL

Active since February 11, 2025
4061 W 95TH ST, OAK LAWN, IL 60453(630) 469-9200 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas Formica Pta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS FORMICA PTA (NPI 1679388060) is an individual physical therapy provider in Oak Lawn, Illinois, licensed in Illinois (160010305) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1679388060
Entity TypeIndividualMale
Primary Taxonomy261QP2000X
Provider Legal NameNICHOLAS FORMICACredential: PTA
Location Address4061 W 95TH STOak Lawn, IL 60453-2611
Mailing Address8825 S Kolmar AveHometown, IL 60456-1027
Sole ProprietorYes
Enumeration DateFebruary 11, 2025
NPPES CertifiedFebruary 11, 2025
NPI 1679388060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in IL · 160010305
Definition
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 professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
4061 W 95TH ST, Oak Lawn, IL 60453

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4061 W 95TH ST
OAK LAWN, IL 60453
Nurse Practitioner
4061 W 95TH ST
OAK LAWN, IL 60453
Physical Therapist
4061 W 95TH ST
OAK LAWN, IL 60453
Occupational Therapist
4061 W 95TH ST
OAK LAWN, IL 60453
Orthopaedic Surgery
4061 W 95TH ST
OAK LAWN, IL 60453
Physical Therapist
4061 W 95TH ST
OAK LAWN, IL 60453
Internal Medicine (Cardiovascular Disease)
4061 W 95TH ST
OAK LAWN, IL 60453
Physical Therapist
4061 W 95TH ST
OAK LAWN, IL 60453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Formica's NPI number?

The NPI number for Nicholas Formica is 1679388060. It was assigned to this individual provider in the NPPES registry on February 11, 2025.

Where is Nicholas Formica located?

Nicholas Formica practices at 4061 W 95th St, Oak Lawn, IL 60453. The listed phone number is (630) 469-9200.

What is Nicholas Formica's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Nicholas Formica was last updated on February 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.