Provider Demographics
NPI:1861910028
Name:OCAMPO, GAIL PAGUNTALAN (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:PAGUNTALAN
Last Name:OCAMPO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13410 JEWEL AVE
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1918
Mailing Address - Country:US
Mailing Address - Phone:347-684-8241
Mailing Address - Fax:
Practice Address - Street 1:16410 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-2677
Practice Address - Country:US
Practice Address - Phone:347-684-8241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
NY011079225200000X
NY044679-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant