Individual ProviderJodi Elizabeth WolfPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1936 N 11th St, Bismarck, ND 58501-1914(701) 258-0029PECOS EnrollmentBased on the most recent information from CMS, provider Jodi Elizabeth Wolf 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 ID1245266717Provider TypeIndividualFull NameWolf, Jodi ElizabethCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date6/24/2006Last Updated1/12/2018Contact InformationPractice LocationPractice Address1936 N 11th St, Bismarck, ND 58501-1914Phone(701) 258-0029Fax(701) 258-0826Mailing LocationMailing Address1936 N 11th St, Bismarck, ND 58501-1914Phone(701) 258-0029Fax(701) 258-0826Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1230North DakotaProvider IdentifiersIDDescriptionIssuerID6044727700DescriptionMedicaidIssuerUnlistedMinnesota