PRAIRIE STAR PHYSICAL THERAPY
NPI 1104761949
Physical Therapist in Lenexa, KS

Active since April 20, 2026
8909 PINE ST, LENEXA, KS 66220(913) 219-9314 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2026, Apr 20, 2026 (2 updates tracked since 2026).

About Prairie Star Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRAIRIE STAR PHYSICAL THERAPY (NPI 1104761949) is a healthcare organization registered as a physical therapist in Lenexa, Kansas and active in the NPI registry since April 2026. The organization lists Brendan Ryan O'connor, Owner, as its authorized official.

NPPES Registry Identity

NPI1104761949
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePRAIRIE STAR PHYSICAL THERAPY
Location Address8909 PINE STLenexa, KS 66220-3356
Mailing Address8909 Pine StLenexa, KS 66220-3356 · (913) 219-9314
Organization SubpartNo
Authorized OfficialBrendan Ryan O'connorOwner · (913) 219-9314
Enumeration DateApril 20, 2026
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1104761949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
8909 PINE ST, Lenexa, KS 66220

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie Star Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prairie Star Physical Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1760674568
8909 PINE ST
Lenexa, KS 66220
(913) 219-9314
Same address
Physical Therapist in Private Practice
NPI 1568537827
4500 W 107TH ST
Overland Park, KS 66207
(913) 341-9880
✔ Accepts Medicare10 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prairie Star Physical Therapy's NPI number?

The NPI number for Prairie Star Physical Therapy is 1104761949. It was assigned to this organization in the NPPES registry on April 20, 2026.

Where is Prairie Star Physical Therapy located?

Prairie Star Physical Therapy is located at 8909 Pine St, Lenexa, KS 66220. The listed phone number is (913) 219-9314.

What is Prairie Star Physical Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Prairie Star Physical Therapy enrolled in Medicare?

Yes. Prairie Star Physical Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Star Physical Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Prairie Star Physical Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prairie Star Physical Therapy was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.