Provider Demographics
NPI:1538497979
Name:OCHOA, PAUL ANTHONY (DPT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ANTHONY
Last Name:OCHOA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 W 26TH ST
Mailing Address - Street 2:402
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-6737
Mailing Address - Country:US
Mailing Address - Phone:917-538-3629
Mailing Address - Fax:
Practice Address - Street 1:250 W 26TH ST
Practice Address - Street 2:402
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6737
Practice Address - Country:US
Practice Address - Phone:917-538-3629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0321412251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic