Proximal 50, Inc | |
1151 W. Divide Ave, Bismarck, ND 58501 | |
(701) 751-7797 | |
Not Available |
Full Name | Proximal 50, Inc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1151 W. Divide Ave, Bismarck, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184009029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1964 (North Dakota) | Primary |
Provider Name | Tana Rae Trotter |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356721377 PECOS PAC ID: 6305153180 Enrollment ID: I20150910001902 |
Mailing Address | Practice Location Address |
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Proximal 50, Inc 1151 W. Divide Ave, Bismarck, ND 58501 Ph: (701) 751-7797 | Proximal 50, Inc 1151 W. Divide Ave, Bismarck, ND 58501 Ph: (701) 751-7797 |
Ashley Russell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 207 W Front Ave, Bismarck, ND 58504 Phone: 701-751-0994 | |
Jonathan Jay Fischer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2945 N 11th St, Bismarck, ND 58503 Phone: 701-258-7730 Fax: 701-258-7803 | |
Mrs. Kari Lynn Harris, DPT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 N 7th St, Bismarck, ND 58501 Phone: 701-323-6837 Fax: 701-323-6907 | |
Andrew Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Tacoma Ave Ste 500, Bismarck, ND 58504 Phone: 701-751-3001 | |
Jennifer Voigt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Anna Wolf, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4580 Coleman St, Bismarck, ND 58503 Phone: 701-751-5118 | |
Alexis Witt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4500 Fax: 701-712-4011 |