Individual ProviderNing Willa ZhaoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address119 Aspen Knolls Way, Staten Island, NY 10312-6628(646) 331-8684PECOS EnrollmentBased on the most recent information from CMS, provider Ning Willa Zhao 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 ID1528337573Provider TypeIndividualFull NameZhao, Ning WillaCredentialDPTGenderFemaleSole ProprietorYesEnumeration Date12/20/2011Last Updated12/20/2011Contact InformationPractice LocationPractice Address119 Aspen Knolls Way, Staten Island, NY 10312-6628Phone(646) 331-8684FaxUnlisted FaxMailing LocationMailing Address119 Aspen Knolls Way, Staten Island, NY 10312-6628Phone(646) 331-8684FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense034533New York