; or a certification of the individual’s plan of care signed by a physician under whom the individual is receiving care. . (b) Conforming amendment Section 1861(p) of the Social Security Act ( 42 U.S.C. 1395x(p) ) is amended by adding at the end the following new sentence: The requirement for review of a plan of care described in paragraph (2) for physical therapy services furnished to an individual under the care of a physician (as so defined) shall be deemed to be met if either of the following is included in the individual’s medical record: an order for such physical therapy services signed by a physician under whom the individual is receiving care; or a certification of the individual’s plan of care signed by a physician under whom the individual is receiving care. .