Individual ProviderCassidy Michael TrimmPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9350 Campus Point Dr, La Jolla, CA 92037-1300(858) 657-1239PECOS EnrollmentBased on the most recent information from CMS, provider Cassidy Michael Trimm 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 ID1740708478Provider TypeIndividualFull NameTrimm, Cassidy MichaelTitleMr.CredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date9/1/2017Last Updated9/6/2017Contact InformationPractice LocationPractice Address9350 Campus Point Dr, La Jolla, CA 92037-1300Phone(858) 657-1239FaxUnlisted FaxMailing LocationMailing AddressPO Box 232410, San Diego, CA 92193-2410PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense293496California