Individual ProviderMiranda MedunaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address310 N 9th St, Bismarck, ND 58501-4515(701) 530-8744(701) 946-7500PECOS EnrollmentBased on the most recent information from CMS, provider Miranda Meduna 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 ID1255734588Provider TypeIndividualFull NameMeduna, MirandaCredentialPTGenderFemaleSole ProprietorNoEnumeration Date10/1/2014Last Updated1/19/2026Contact InformationPractice LocationPractice Address310 N 9th St, Bismarck, ND 58501-4515Phone(701) 530-8744Fax(701) 530-8772Mailing LocationMailing Address310 N 9th St, Bismarck, ND 58501-4515Phone(701) 946-7500Fax(701) 751-4550Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1623North DakotaProvider IdentifiersIDDescriptionIssuerID1623DescriptionOtherIssuerND PHYSICAL THERAPIST LICENSENorth Dakota