St Jude'S Pediatric Services

LBN: St Jude'S Physical Therapy
St Jude'S Pediatric Services is an health care organization with primary practice located at 7712 4Th Ave # 1, Brooklyn NY 11209-3402. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. St Jude'S Physical Therapy can be contacted via phone (646) 224-8040, or through John, Keisha E via phone (347) 524-0630.

Contact Information

Primary practice address
7712 4Th Ave # 1 Brooklyn NY 11209-3402
Phone: (646) 224-8040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: John, Keisha E DPT
Phone: (347) 524-0630

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 028641 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 016896-1 New York
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 020555-1 New York

Profile Details

NPI number 1982990743
LBN Legal business name St Jude'S Physical Therapy
DBA Doing business as St Jude'S Pediatric Services
Authorized official John, Keisha E DPT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2011
Last updated Nov 23rd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982990743 NPPES
New York Other A400016264 MEDICARE
New York MEDICAID 03130458 MEDICARE

Popular Providers