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

St Judes PT

Organization Pediatric Physical Therapist · NPI 1205118429

St Judes PT is a Pediatric 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

Practice location Address checks out

212 Macon St 2nd Fl
Brooklyn, NY 11216-2405
Phone: (718) 238-0311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 028641 (NY)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 015866 (NY)
Speech-Language Pathologist Taxonomy 235Z00000X (NY)

Record details

NPI number1205118429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keisha John — Owner · (718) 238-0311
Other names St Judes Pt- Pediatric Services
NPI enumeratedSeptember 14, 2011
Last updated in NPPESSeptember 14, 2011
Mailing address7712 4th Ave, First Floor, Brooklyn, NY 11209-3402

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