OrganizationTrellis Physical Therapy A Professional Rehab Group, Inc.Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8500 Wilshire Blvd, Suite #615, Beverly Hills, CA 90211-3121(310) 592-8284PECOS EnrollmentBased on the most recent information from CMS, provider Trellis Physical Therapy A Professional Rehab Group, 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 2 days ago.Profile DetailsProvider ID1730245838Provider TypeOrganizationFull NameTrellis Physical Therapy A Professional Rehab Group, Inc.SubpartNoEnumeration Date12/31/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address8500 Wilshire Blvd, Suite #615, Beverly Hills, CA 90211-3121Phone(310) 592-8284FaxUnlisted FaxMailing LocationMailing AddressPO Box 492418, Los Angeles, CA 90049-8418Phone(310) 592-8284FaxUnlisted FaxAuthorized OfficialNameShamsi, Nora G. (President And Ceo)Phone(310) 592-8284Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer