Individual ProviderTatiana PesPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address11000 Prosperity Farms Rd, Ste 203, Palm Beach Gardens, FL 33410-3462(561) 432-0111(310) 986-7737PECOS EnrollmentBased on the most recent information from CMS, provider Tatiana Pes 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 5 days ago.Profile DetailsProvider ID1932432630Provider TypeIndividualFull NamePes, TatianaCredentialPTGenderFemaleSole ProprietorYesEnumeration Date9/12/2009Last Updated6/3/2016Contact InformationPractice LocationPractice Address11000 Prosperity Farms Rd, Ste 203, Palm Beach Gardens, FL 33410-3462Phone(561) 432-0111Fax(561) 432-1075Mailing LocationMailing Address21839 High Pine Trl, Boca Raton, FL 33428-3049Phone(310) 986-7737FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense31343FloridaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense35985California