Individual ProviderJeffrey LyonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address16611 S 40th St Ste 130, Phoenix, AZ 85048-0564(807) 061-1994(480) 706-1199PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey Lyon 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 15 days ago.Profile DetailsProvider ID1043377807Provider TypeIndividualFull NameLyon, JeffreyCredentialPTGenderMaleSole ProprietorNoEnumeration Date1/2/2007Last Updated5/28/2024Contact InformationPractice LocationPractice Address16611 S 40th St Ste 130, Phoenix, AZ 85048-0564Phone(807) 061-1994Fax(480) 706-3999Mailing LocationMailing Address16611 S 40th St Ste 130, Phoenix, AZ 85048-0564Phone(480) 706-1199Fax(480) 706-3999Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070-010650Illinois