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ST JUDES PT- PEDIATRIC SERVICES
NPI 1205118429
Physical Therapist - Pediatrics in Brooklyn, NY

Active since September 14, 2011
212 MACON ST, 2ND FLOOR, BROOKLYN, NY 11216(718) 238-0311 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About St Judes Pt- Pediatric Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JUDES PT- PEDIATRIC SERVICES (NPI 1205118429) is a healthcare organization registered as a pediatrics in Brooklyn, New York and active in the NPI registry since September 2011. The organization lists Keisha E John, Owner, as its authorized official.

NPPES Registry Identity

NPI1205118429
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameST JUDES PT
Location Address212 MACON ST, 2ND FLOORBrooklyn, NY 11216-2405
Mailing Address7712 4th Ave, First FloorBrooklyn, NY 11209-3402 · (718) 238-0311
Phone(718) 238-0311
Organization SubpartNo
Authorized OfficialKeisha E JohnOwner · (718) 238-0311
Enumeration DateSeptember 14, 2011
✔ NPI 1205118429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NY · 028641
Definition
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.
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License 015866 (NY)
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
212 MACON ST, Brooklyn, NY 11216
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Other Names 1

Doing Business AsSt Judes Pt- Pediatric Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St Judes Pt's NPI number?

The NPI number for St Judes Pt is 1205118429. It was assigned to this organization in the NPPES registry on September 14, 2011. The provider is doing business as St Judes Pt- Pediatric Services.

Where is St Judes Pt located?

St Judes Pt is located at 212 Macon St 2nd Floor, Brooklyn, NY 11216. The listed phone number is (718) 238-0311.

What is St Judes Pt's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for St Judes Pt was last updated on September 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.