OrganizationProximal 50, IncPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1151 W. Divide Ave, Bismarck, ND 58501(701) 751-7797PECOS EnrollmentBased on the most recent information from CMS, provider Proximal 50, Inc 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 ID1184009029Provider TypeOrganizationFull NameProximal 50, IncSubpartNoEnumeration Date7/21/2015Last Updated7/22/2015Contact InformationPractice LocationPractice Address1151 W. Divide Ave, Bismarck, ND 58501Phone(701) 751-7797FaxUnlisted FaxMailing LocationMailing Address1151 W. Divide Ave, Bismarck, ND 58501Phone(701) 751-7797FaxUnlisted FaxAuthorized OfficialNameTrotter, Tana (Physical Therapist)Phone(701) 260-2693Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1964North Dakota