Individual ProviderJeffrey Thomas NoelckePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address214 Saint James Ave, Goose Creek, SC 29445-2974(843) 793-4466PECOS EnrollmentBased on the most recent information from CMS, provider Jeffrey Thomas Noelcke 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 ID1083047070Provider TypeIndividualFull NameNoelcke, Jeffrey ThomasCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date8/14/2013Last Updated8/14/2013Contact InformationPractice LocationPractice Address214 Saint James Ave, Goose Creek, SC 29445-2974Phone(843) 793-4466FaxUnlisted FaxMailing LocationMailing Address214 Saint James Ave, Goose Creek, SC 29445-2974Phone(843) 793-4466FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense7142South Carolina