Individual ProviderBlaine FerchoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 N 7th St, Bismarck, ND 58501-4439(701) 323-6000PECOS EnrollmentBased on the most recent information from CMS, provider Blaine Fercho 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 ID1184813016Provider TypeIndividualFull NameFercho, BlaineTitleMr.CredentialPTGenderMaleSole ProprietorNoEnumeration Date10/16/2007Last Updated10/16/2007Contact InformationPractice LocationPractice Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6000FaxUnlisted FaxMailing LocationMailing Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense714North Dakota