Active NPI
Mary E Hermes, M.S.P.T.
- Physical Therapist
- La Jolla, CA
National Provider Identifier
1518028547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24707
- Practice address
- 7629 Girard Ave
201
La Jolla, CA 92037-0076 - Phone
- (773) 495-6522
- Fax
- (858) 255-8364
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-011690 | IL | |
| Physical Therapist | 225100000X | 24707 | CA | Primary |
Addresses
Primary practice location
7629 Girard Ave
201
La Jolla, CA 92037-0076
Mailing address
7629 Girard Ave
201
La Jolla, CA 92037-0076
Phone (773) 495-6522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-5186080 | Other | IL | FEIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-011690 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Kids on the Go Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- La Jolla, CA
- NPI 1386821619
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1952729303
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750377600000",
"number": "1518028547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7629 GIRARD AVE",
"address_2": "201",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920370076",
"telephone_number": "773-495-6522",
"fax_number": "858-255-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7629 GIRARD AVE",
"address_2": "201",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920370076",
"telephone_number": "773-495-6522",
"fax_number": "858-255-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMES",
"first_name": "MARY",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "M.S.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2025-06-20",
"certification_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-011690",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "24707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN",
"identifier": "20-5186080",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.