Provider Demographics
NPI:1609016484
Name:STATMAN, JOSHUA (DPT)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:STATMAN
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 1:1736 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4442
Mailing Address - Country:US
Mailing Address - Phone:917-545-2826
Mailing Address - Fax:718-404-9153
Practice Address - Street 1:1736 E 32ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4442
Practice Address - Country:US
Practice Address - Phone:917-545-2826
Practice Address - Fax:718-404-9153
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030992225100000X, 2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics