Mfs Physical Therapy Assistive Technology P.C.
NPI 1659779908ActiveOrganization· Physical Therapist· Fair Lawn, NJ
Physical Therapist in Fair Lawn, New Jersey, registered in NPPES in December 2014. The authorized official on file is Maricris Formoso-Santos, PT, ATP, Physical Therapist.
Overview
| NPI | 1659779908 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 17, 2014 |
| Last updated in NPPES | Feb 8, 2021 |
| Certified by provider | Feb 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 40QA01313000 | NJ |
| Physical Therapist | 225100000X | 028196 | NY |
| Rehabilitation Counselor, Assistive Technology Practitioner | 225CA2400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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