Prairie Star Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PRAIRIE STAR PHYSICAL THERAPY

Practice address

8909 Pine St
Lenexa, KS 66220-3356

Phone

(913) 219-9314

NPI assigned

Apr 20, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brendan Ryan O'ConnorNPI 1760674568

Title

Owner

Phone

(913) 219-9314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brendan Ryan O'Connor, PT

  • Specialist
  • Lenexa, KS
  • NPI 1760674568

  MO

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1104761949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 PINE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662203356",
            "telephone_number": "913-219-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 PINE ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662203356",
            "telephone_number": "913-219-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE STAR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "BRENDAN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-219-9314"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Solutions, Inc.
• Michelle Pouliot
• Mary Powell, ARNP, NP-C
• Tiffany Powell
• Sribidya Pradhan
• Thomas C. Prather, LPC
• Preferred PT LLC
• Preferred PT, LLC
• Premier Spine Care, P.a.
• Premier Surgical First Assistant LLC

• Physical Therapist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.