Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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St Jude's Physical Therapy

Organization Physical Therapist · NPI 1982990743

St Jude's Physical Therapy is a Physical Therapist 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
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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