Prairie Star Physical Therapy
NPI 1104761949ActiveOrganization· Physical Therapist· Lenexa, KS
Physical Therapist in Lenexa, Kansas, registered in NPPES in April 2026. The authorized official on file is Brendan Ryan O'Connor, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1104761949 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 20, 2026 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (KS); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MO) |
|---|
Other Physical Therapist providers in Lenexa
- 1245904044
- 1023845278
- 1619908647
- 1811775877
- 1972063436
- 1790394930
- 1174935266
- 1679119416
- 1992878508
- 1326620527
- 1023747722
- 1821977208