Individual provider Active NPI

Bryce Erickson, PT

  • Physical Therapist
  • Prairie Village, KS
National Provider Identifier
1124992557
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1108009 Issued in KS
Practice address
2106 W 75TH St
Prairie Village, KS 66208-3503
Phone
(913) 291-2290
Fax
(913) 291-2449
NPI assigned
Sep 30, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1108009 KS Primary

Addresses

Primary practice location

2106 W 75TH St
Prairie Village, KS 66208-3503

Mailing address

2106 W 75TH St
Prairie Village, KS 66208-3503
Phone (913) 291-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251027002748 KS Practitioner - Physical Therapist in Private Practice 3678062155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Thomas Physical Therapy,LLCGroup PAC ID 5991844300, 5 clinicians

Practice addresses (Care Compare)

2106 W 75TH St
Prairie Village, KS 66208-3503
Phone (913) 291-2290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1108009KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Thomas Physical Therapy,LLC Physical Therapist CurrentSince Sep 30, 2025 Accepting new patients

Locations

2106 W 75th St
Prairie Vlg, KS 66208
Phone (913) 291-2290

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1124992557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083503",
            "telephone_number": "913-291-2290",
            "fax_number": "913-291-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083503",
            "telephone_number": "913-291-2290",
            "fax_number": "913-291-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "BRYCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1108009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.