ST JUDES PT NPI 1205118429

NPI Information

  • NPI: 1205118429
  • Provider Name: ST JUDES PT
  • Classification: Physical Therapist - 2251P0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Doing Business As: ST JUDES PT- PEDIATRIC SERVICES
  • Address: 212 MACON ST
    2ND FLOOR
    BROOKLYN, NY
    ZIP 11216
  • Phone: (718) 238-0311

Map and Directions

Get Directions

NPI Details

ST JUDES PT is a pediatrics physical therapist in Brooklyn, NY. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. ST JUDES PT NPI is 1205118429. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Judes Pt- Pediatric Services.

The provider's business location address is:

212 MACON ST
2ND FLOOR
BROOKLYN, NY
ZIP 11216-405
Phone: (718) 238-0311

The provider's authorized official is Keisha E John .
The authorized official title is Owner and has the following contact phone number (718) 238-0311.

The enumeration date for this NPI number is 9/14/2011 and was last updated on 9/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225XP0200XOccupational TherapistPediatrics015866NEW YORKNo
2235Z00000XSpeech-Language PathologistNEW YORKNo
32251P0200XPhysical TherapistPediatrics028641NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI