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Certification of Therapy Plans of Care With a Physician or NPP Order Sections 1861(p), (g), and (ll)(2) of the Act require that an individual outpatient is under the care of a physician and for whom a plan for the physical therapy, occupational therapy, or speech-language pathology services that are to be furnished has been established by a physician or by a qualified PT, OT, or SLP and is periodically reviewed by a physician