Individual ProviderJessica A LyonsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address215 Blossom St, Goose Creek, SC 29445-3516(843) 469-1400PECOS EnrollmentBased on the most recent information from CMS, provider Jessica A Lyons 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 ID1134183890Provider TypeIndividualFull NameLyons, Jessica ACredentialDPTGenderFemaleSole ProprietorNoEnumeration Date4/12/2006Last Updated11/24/2016Contact InformationPractice LocationPractice Address215 Blossom St, Goose Creek, SC 29445-3516Phone(843) 469-1400FaxUnlisted FaxMailing LocationMailing Address215 Blossom St, Goose Creek, SC 29445-3516Phone(843) 469-1400FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5123South Carolina