OrganizationEmbody Yoga & Physical Therapy Centers IncPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5632 La Jolla Blvd, La Jolla, CA 92037(858) 454-9355PECOS EnrollmentBased on the most recent information from CMS, provider Embody Yoga & Physical Therapy Centers Inc 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 ID1669648481Provider TypeOrganizationFull NameEmbody Yoga & Physical Therapy Centers IncSubpartYesEnumeration Date5/1/2008Last Updated5/1/2008Contact InformationPractice LocationPractice Address5632 La Jolla Blvd, La Jolla, CA 92037Phone(858) 454-9355Fax(858) 454-9305Mailing LocationMailing Address5632 La Jolla Blvd, La Jolla, CA 92037Phone(858) 454-9355Fax(858) 454-9305Authorized OfficialNameSmith, Diana Jean (Owner Secretary)Phone(858) 454-9355Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT13530CaliforniaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT23105California