BRIAN CONRAD FASSOLD (PT, DPT) – Physical Therapist, NPI 1669817359
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,055 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS
Provider Addresses for BRIAN CONRAD FASSOLD (PT, DPT)
1200 CORPORATE DR STE 400
HOOVER, AL 352425424
Phone: (423) 238-7217
Type: Mailing
7211 W 110TH ST
OVERLAND PARK, KS 662102339
Phone: (913) 451-7373
Fax: (913) 451-7375
Type: Location
8823 PRODUCTION LN
OOLTEWAH, TN 373636511
Phone: (423) 238-7217
Fax: (423) 238-3473
Type: Mailing
218 E 20TH ST
STE A
EUDORA, KS 660259769
Phone: (785) 542-3333
Fax: (785) 542-3330
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-04-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140401001666 | I | Physical Therapist In Private Practice | KS | TBD |
| I20200429000601 | I | Physical Therapist In Private Practice | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 530 | 60 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 41 | 15 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 35242)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | KS | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 804 | 86 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Physical Therapist In Private Practice | AL | |
| - | MO | |
| - | MO | |
| Qualified Audiologist | ID | |
| Physical Therapist In Private Practice | MO | |
| Physical Therapist In Private Practice | KS | |
| - | MO | |
| Physical Therapist In Private Practice | KS | |
| Qualified Audiologist | MO |
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