Brendan Ryan O'Connor, PT

Primary specialty

SpecialistTaxonomy code 174400000X

License

11-03718 Issued in KS

Practice address

8909 Pine St
Lenexa, KS 66220-3356

Phone

(913) 219-9314

NPI assigned

Aug 15, 2007

Last updated

Apr 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, MO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prairie Star Physical Therapy

  • Physical Therapist
  • Lenexa, KS
  • NPI 1104761949

  MO

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1760674568",
    "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": {
        "last_name": "O'CONNOR",
        "first_name": "BRENDAN",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "11-03718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT",
            "identifier": "11-03718",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Rae Novascone, M.A., CCC-SLP
• NTTR Medical LLC (Nelopher Medical Group)
• Morgyn Deane Nyman, LMSW
• Patrick O Donnell, PHARMD
• Colleen O'Connell-Ill, OTRL
• Raquel O'Connor
• James O'Hara, FNP-C
• Oak Park Dental Group
• Oak Park Village Dental LLC (Oak Park Dental)
• Amy Patricia Oberhelman, M.D.

• Specialist in Lenexa, KS
• Providers in Lenexa, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.