Provider Demographics
NPI:1194473603
Name:MAPSON, JOSEPH CLIFFTON (PTA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CLIFFTON
Last Name:MAPSON
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 GLENWOOD RD APT 1G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2232
Mailing Address - Country:US
Mailing Address - Phone:404-551-8202
Mailing Address - Fax:
Practice Address - Street 1:2620 GLENWOOD RD APT 1G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2232
Practice Address - Country:US
Practice Address - Phone:404-551-8202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011361225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant