MEDICARE: ONE STEP REHAB PHYSICAL THERAPY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1144810706
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE STEP REHAB PHYSICAL THERAPY PLLC

Provider Business Mailing Address
First Line	:	2174 66TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-3922
Country	:	US
Telephone Number	:	646-267-7504
Fax Number	:

Provider Business Practice Location Address
First Line	:	7206 BAY PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-6026
Country	:	US
Telephone Number	:	646-875-1600
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF PT
Name	:	DR. KENNY KENG SHING HO
Credential	:	L.AC, PT
Telephone Number	:	646-267-7504

Provider Enumeration Date	:	01/19/2021
Last Update Date	:	01/19/2021

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