OrganizationHealing Hands Physical Therapy & Wellness PllcPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3453 Richmond Ave, Suite 100, Staten Island, NY 10312-3219(718) 317-9801PECOS EnrollmentBased on the most recent information from CMS, provider Healing Hands Physical Therapy & Wellness Pllc 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 ID1922020031Provider TypeOrganizationFull NameHealing Hands Physical Therapy & Wellness PllcSubpartNoEnumeration Date7/25/2006Last Updated10/30/2008Contact InformationPractice LocationPractice Address3453 Richmond Ave, Suite 100, Staten Island, NY 10312-3219Phone(718) 317-9801Fax(718) 317-9802Mailing LocationMailing Address3453 Richmond Ave, Suite 100, Staten Island, NY 10312-3219Phone(718) 317-9801Fax(718) 317-9802Authorized OfficialNameKim, Daegyun (Physical Theraphist)Phone(718) 317-9801Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense017470New YorkProvider IdentifiersIDDescriptionIssuerID02646413DescriptionMedicaidIssuerUnlistedNew York