Provider Demographics
NPI:1932780129
Name:OCASIO, NATALIE NILDA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:NILDA
Last Name:OCASIO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10992-1703
Mailing Address - Country:US
Mailing Address - Phone:845-282-7272
Mailing Address - Fax:845-282-7035
Practice Address - Street 1:3 LOCUST ST
Practice Address - Street 2:
Practice Address - City:WASHINGTONVILLE
Practice Address - State:NY
Practice Address - Zip Code:10992-1703
Practice Address - Country:US
Practice Address - Phone:845-282-7272
Practice Address - Fax:845-282-7035
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047119-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist