Individual ProviderStephen Lee BaileyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10216 Broad River Rd, Irmo, SC 29063-9679(803) 973-1717(803) 973-0100PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Lee Bailey 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 11:47 AM.Profile DetailsProvider ID1235971375Provider TypeIndividualFull NameBailey, Stephen LeeCredentialPT, DPTGenderMaleSole ProprietorNoEnumeration Date6/10/2024Last Updated6/10/2024Contact InformationPractice LocationPractice Address10216 Broad River Rd, Irmo, SC 29063-9679Phone(803) 973-1717Fax(803) 462-5804Mailing LocationMailing Address1105 12th St, Cayce, SC 29033-3304Phone(803) 973-0100Fax(803) 973-0117Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12367South Carolina