OrganizationKah Premium Physical Therapy P.C.Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1071 Route 25a, Stony Brook, NY 11790-1922(631) 675-6262PECOS EnrollmentBased on the most recent information from CMS, provider Kah Premium Physical Therapy P.C. 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 2 days ago.Profile DetailsProvider ID1922396373Provider TypeOrganizationFull NameKah Premium Physical Therapy P.C.SubpartNoEnumeration Date7/19/2011Last Updated7/19/2011Contact InformationPractice LocationPractice Address1071 Route 25a, Stony Brook, NY 11790-1922Phone(631) 675-6262Fax(631) 675-6264Mailing LocationMailing Address1071 Route 25a, Stony Brook, NY 11790-1922Phone(631) 675-6262Fax(631) 675-6264Authorized OfficialNameHarris, Kimberly Ann (President/Owner)Phone(631) 675-6262Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer