Individual ProviderCara MitzelPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address310 N 9th St, Bismarck, ND 58501-4515(701) 530-8100(701) 230-3064PECOS EnrollmentBased on the most recent information from CMS, provider Cara Mitzel 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 ID1164514469Provider TypeIndividualFull NameMitzel, CaraCredentialPT,DPTGenderFemaleSole ProprietorNoEnumeration Date9/28/2006Last Updated5/19/2022Contact InformationPractice LocationPractice Address310 N 9th St, Bismarck, ND 58501-4515Phone(701) 530-8100FaxUnlisted FaxMailing LocationMailing Address500 Crestland Pl, Bismarck, ND 58503-6234Phone(701) 230-3064FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense981North DakotaProvider IdentifiersIDDescriptionIssuerID15970DescriptionOtherIssuer15970North DakotaID53Q79MIDescriptionOtherIssuerBCBSMinnesotaID6407046DescriptionOtherIssuerMEDICAMinnesotaID54398DescriptionMedicaidIssuerUnlistedNorth Dakota