Individual ProviderBridgett Ann DiersPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475(952) 993-5900(651) 341-8670PECOS EnrollmentBased on the most recent information from CMS, provider Bridgett Ann Diers 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 ID1720437791Provider TypeIndividualFull NameDiers, Bridgett AnnTitleMs.CredentialPT, DPT, ATCGenderFemaleSole ProprietorYesEnumeration Date6/9/2016Last Updated12/19/2019Contact InformationPractice LocationPractice Address15301 Grove Cir N, Maple Grove, MN 55369-4475Phone(952) 993-5900FaxUnlisted FaxMailing LocationMailing Address4828 147th Court, Savage, MN 55378Phone(651) 341-8670FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10276MinnesotaCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense4832New Mexico