Active NPI
Regina L Formica, PT
- Physical Therapist
- Lansdale, PA
National Provider Identifier
1972827970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-006061-L
- Practice address
- 624 E Main St
Lansdale, PA 19446-2964 - Phone
- (215) 538-1999
- NPI assigned
- Mar 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-006061-L | PA | Primary |
Addresses
Primary practice location
624 E Main St
Lansdale, PA 19446-2964
Mailing address
361 S 11TH St
Suite 2
Quakertown, PA 18951-1414
Phone (215) 538-1999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-006061-L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parry PT LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1972827970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 S 11TH ST",
"address_2": "SUITE 2",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511414",
"telephone_number": "215-538-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 E MAIN ST",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194462964",
"telephone_number": "215-538-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORMICA",
"first_name": "REGINA",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT-006061-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansdale, PA
- James Joseph Flaherty IV
- Paula Anne Foiw Washesky, R.D., L.D.N.
- Kelly Foley
- April Folkes, OTR/L
- Matthew A Forjohn, PA-C
- Fornance Physician Services Inc (Einstein Physicians Montgomery)
- Fornance Physician Services, Inc (Endocrine Associates of Fornance)
- Holly Elizabeth Forst, AUD
- Michael Adam Forstner, DC
- Frank Foye
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.