Individual ProviderMary E HermesPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7629 Girard Ave, 201, La Jolla, CA 92037-0076(773) 495-6522PECOS EnrollmentBased on the most recent information from CMS, provider Mary E Hermes 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 yesterday at 12:57 PM.Profile DetailsProvider ID1518028547Provider TypeIndividualFull NameHermes, Mary ETitleMs.CredentialM.S.P.T.GenderFemaleSole ProprietorYesEnumeration Date12/13/2006Last Updated6/20/2025Contact InformationPractice LocationPractice Address7629 Girard Ave, 201, La Jolla, CA 92037-0076Phone(773) 495-6522Fax(858) 255-8364Mailing LocationMailing Address7629 Girard Ave, 201, La Jolla, CA 92037-0076Phone(773) 495-6522Fax(858) 255-8364Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense24707CaliforniaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070-011690IllinoisProvider IdentifiersIDDescriptionIssuerID20-5186080DescriptionOtherIssuerFEINIllinois