...  Island kids sharpen motor skills with karate lessons Filed under: physical therapy services Karate grandmaster Paul Mormando, center, leads students David, Antonio, Jason and Joseph in a kicking exercise during a class tailored to their special needs at S.T.A.R.S (Specialized Therapeutic and Recreational Services). Staten Island Advance/Derek … Read more on SILive.com   MedPAC Adopts Recommendations Regarding Outpatient Therapy Payment … Filed under: physical therapy services In addition, recommendations include applying a multiple procedure payment reduction (MPPR) of 50% to the practice ...