Individual ProviderTravis NgPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address22 Laredo Ave, Staten Island, NY 10312-3449(646) 431-5003PECOS EnrollmentBased on the most recent information from CMS, provider Travis Ng does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1316314206Provider TypeIndividualFull NameNg, TravisCredentialPT, DPT, OCSGenderMaleSole ProprietorNoEnumeration Date8/26/2015Last Updated4/27/2021Contact InformationPractice LocationPractice Address22 Laredo Ave, Staten Island, NY 10312-3449Phone(646) 431-5003FaxUnlisted FaxMailing LocationMailing Address22 Laredo Ave, Staten Island, NY 10312-3449PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense039392New York