Individual provider Active NPI

Joshua Statman, D.P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1609016484
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
030992 Issued in NY
Practice address
1736 E 32ND St
Brooklyn, NY 11234-4442
Phone
(917) 545-2826
Fax
(718) 404-9153
NPI assigned
Mar 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 030992 NY Primary
Geriatric Physical Therapist 2251G0304X 030992 NY

Addresses

Primary practice location

1736 E 32ND St
Brooklyn, NY 11234-4442

Mailing address

1736 E 32ND St
Brooklyn, NY 11234-4442
Phone (917) 545-2826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000422 NY Practitioner - Physical Therapist in Private Practice 5193879211 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stat Physical Therapy PCGroup PAC ID 7719126184, 2 clinicians

Practice addresses (Care Compare)

1736 E 32ND St
Brooklyn, NY 11234-4442
Phone (917) 545-2826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030992NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Associate PT PC CurrentSince Nov 1, 2009 Accepting new patients
Welllife Network Inc. Past Accepting new patients

Locations

425 Kingston Ave
Brooklyn, NY 11225
Phone (718) 616-1450

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1609016484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 E 32ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344442",
            "telephone_number": "917-545-2826",
            "fax_number": "718-404-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 E 32ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344442",
            "telephone_number": "917-545-2826",
            "fax_number": "718-404-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATMAN",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-06",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "030992",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "030992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.