ST JUDE'S PEDIATRIC SERVICES
NPI 1982990743
Physical Therapist in Brooklyn, NY

Active since June 21, 2011
7712 4TH AVE, # 1, BROOKLYN, NY 11209(646) 224-8040 Get Directions Write a Review

NPPES record last updated: November 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About St Jude's Pediatric Services NPPES

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

ST JUDE'S PEDIATRIC SERVICES (NPI 1982990743) is a healthcare organization registered as a physical therapist in Brooklyn, New York and active in the NPI registry since June 2011. The organization lists Keisha E John, Co-president, as its authorized official.

NPPES Registry Identity

NPI1982990743
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameST JUDE'S PHYSICAL THERAPY
Location Address7712 4TH AVE, # 1Brooklyn, NY 11209-3402
Mailing Address212 Macon St, 2nd FloorBrooklyn, NY 11216-2405 · (347) 524-0630 · Fax (646) 224-8040
Organization SubpartNo
Authorized OfficialKeisha E JohnCo-president · (347) 524-0630
Enumeration DateJune 21, 2011
Last NPPES UpdateNovember 23, 2011
NPI 1982990743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 028641
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X · License 016896-1 (NY)
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X · License 020555-1 (NY)
7712 4TH AVE, Brooklyn, NY 11209

Other Names 1

Doing Business AsSt Jude's Pediatric Services

Other Identifiers 2

OtherA400016264NY · Medicare
Medicaid03130458NY

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
7712 4TH AVE
BROOKLYN, NY 11209
Physical Therapist
7712 4TH AVE
BROOKLYN, NY 11209
Occupational Therapist
7712 4TH AVE
BROOKLYN, NY 11209

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 Jude's Physical Therapy's NPI number?

The NPI number for St Jude's Physical Therapy is 1982990743. It was assigned to this organization in the NPPES registry on June 21, 2011. The provider is doing business as St Jude's Pediatric Services.

Where is St Jude's Physical Therapy located?

St Jude's Physical Therapy is located at 7712 4th Ave # 1, Brooklyn, NY 11209. The listed phone number is (646) 224-8040.

What is St Jude's Physical Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for St Jude's Physical Therapy was last updated on November 23, 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.