Individual ProviderKristy JohnsonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address300 N 7th St, Bismarck, ND 58501-4439(701) 323-6153(701) 321-0946PECOS EnrollmentBased on the most recent information from CMS, provider Kristy Johnson 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 ID1942855028Provider TypeIndividualFull NameJohnson, KristyCredentialPTGenderFemaleSole ProprietorNoEnumeration Date8/6/2019Last Updated8/6/2019Contact InformationPractice LocationPractice Address300 N 7th St, Bismarck, ND 58501-4439Phone(701) 323-6153FaxUnlisted FaxMailing LocationMailing Address1631 Wichita Dr, Bismarck, ND 58504-6414Phone(701) 321-0946FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2364North Dakota