Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MARY K FORMEA
Active
Individual
MARY K FORMEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-015175
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0451514334
BCBS PROVIDER ID#
IL
Enumeration date
09/16/2006
Last updated
11/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up