Brenden Thomas Judge, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

023549 Issued in NY

Practice address

104 Combs Ave
Woodmere, NY 11598-1431

Phone

(718) 962-5852

NPI assigned

May 3, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Home-Based Physical Therapy PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1356900989

  Occupational Therapist

  NPD
• Metro Care Providers PT, PLLC

  • Physical Therapist
  • Woodmere, NY
  • NPI 1639959919
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1831834803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 CAMBON AVE",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117803001",
            "telephone_number": "631-258-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COMBS AVE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981431",
            "telephone_number": "718-962-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDGE",
        "first_name": "BRENDEN",
        "middle_name": "THOMAS",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "023549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georges Jean-Pierre, M.D
• Meredith Kay Jensen
• Deidra Joseph
• Lois W Joseph, D.C.
• Sarah Judelman
• Jumpstart Occupational Therapy PC
• Bonnie Jurman-Palone
• Rebecca Kahn, PA-C
• Beth Kalter, OTR
• Alisa Kammerman, M.D.

• Occupational Therapist in Woodmere, NY
• Providers in Woodmere, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.