Individual ProviderAlexandra Dee BrillhartPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1320 Dutch Fork Rd, Suite A, Irmo, SC 29063(803) 314-5450(803) 935-8292PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Dee Brillhart 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 ID1467023671Provider TypeIndividualFull NameBrillhart, Alexandra DeeCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date7/8/2021Last Updated11/6/2023Contact InformationPractice LocationPractice Address1320 Dutch Fork Rd, Suite A, Irmo, SC 29063Phone(803) 314-5450FaxUnlisted FaxMailing LocationMailing AddressPO Box 6069, West Columbia, SC 29171-6069Phone(803) 935-8292FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense11536South CarolinaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT-7283Idaho