Provider Demographics
NPI:1679539878
Name:OCFEMIA, JONATHAN ARRIOLA (PT)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:ARRIOLA
Last Name:OCFEMIA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10132 97TH ST
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-2511
Mailing Address - Country:US
Mailing Address - Phone:718-738-3438
Mailing Address - Fax:718-738-3438
Practice Address - Street 1:6865 FRESH POND RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5263
Practice Address - Country:US
Practice Address - Phone:718-366-0838
Practice Address - Fax:718-738-3438
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023864225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY07201HMedicare ID - Type UnspecifiedMEDICARE INDIVIDUAL