Individual ProviderCarissa KristensenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address900 E Broadway Ave, Bismarck, ND 58501-4520(701) 530-8833PECOS EnrollmentBased on the most recent information from CMS, provider Carissa Kristensen 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 ID1326376641Provider TypeIndividualFull NameKristensen, CarissaCredentialPTGenderFemaleSole ProprietorNoEnumeration Date11/24/2009Last Updated11/24/2009Contact InformationPractice LocationPractice Address900 E Broadway Ave, Bismarck, ND 58501-4520Phone(701) 530-8833Fax(701) 530-8842Mailing LocationMailing Address900 E Broadway Ave, Po Box 5510, Bismarck, ND 58501-4520Phone(701) 530-8833Fax(701) 530-8842Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1497North DakotaProvider IdentifiersIDDescriptionIssuerID1497DescriptionOtherIssuerLICENSENorth Dakota