Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

St Jude's Physical Therapy

Organization Physical Therapist · NPI 1982990743

St Jude's Physical Therapy provides Physical Therapist services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

7712 4th Ave # 1
Brooklyn, NY 11209-3402 Not confirmed with CMS for 14 years — call before visiting
Phone: (646) 224-8040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 028641 (NY)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 016896-1 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 020555-1 (NY)

Record details

NPI number1982990743
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keisha John — Co-President · (347) 524-0630
Other names St Jude'S Pediatric Services
NPI enumeratedJune 21, 2011
Last updated in NPPESNovember 23, 2011
Mailing address212 Macon St, 2nd Floor, Brooklyn, NY 11216-2405

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