Individual ProviderBrent O DschaakPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address310 N 9th St, Bismarck, ND 58501-4508(701) 530-8800PECOS EnrollmentBased on the most recent information from CMS, provider Brent O Dschaak 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 ID1083632939Provider TypeIndividualFull NameDschaak, Brent OCredentialPTGenderMaleSole ProprietorNoEnumeration Date7/18/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address310 N 9th St, Bismarck, ND 58501-4508Phone(701) 530-8800Fax(701) 530-8763Mailing LocationMailing Address310 N 9th St, Bismarck, ND 58501-4508Phone(701) 530-8800Fax(701) 530-8763Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1225North DakotaProvider IdentifiersIDDescriptionIssuerID54920DescriptionMedicaidIssuerUnlistedNorth Dakota