Individual ProviderCarlos RochaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7777 Fay Ave Ste G2, La Jolla, CA 92037-4326(973) 222-6070PECOS EnrollmentBased on the most recent information from CMS, provider Carlos Rocha 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 ID1588121974Provider TypeIndividualFull NameRocha, CarlosTitleDr.CredentialPTGenderMaleSole ProprietorYesEnumeration Date2/21/2019Last Updated2/21/2019Contact InformationPractice LocationPractice Address7777 Fay Ave Ste G2, La Jolla, CA 92037-4326Phone(973) 222-6070FaxUnlisted FaxMailing LocationMailing Address3971 Camino Calma, San Diego, CA 92122-1908PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT296207California