| Brian Conrad Fassold, PT, DPT | |
|
7211 W 110th St, Overland Park, KS 66210-2339 | |
| (913) 451-7373 | |
| (913) 451-7375 |
| Full Name | Brian Conrad Fassold |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 7211 W 110th St, Overland Park, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669817359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1104666 (Kansas) | Primary |
| 225100000X | Physical Therapist | 2020010998 (Missouri) | Secondary |
| Provider Name | Mid America Balance Institute Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346412376 PECOS PAC ID: 9931271335 Enrollment ID: O20181217001274 |
| Provider Name | Mid America Balance Institute Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346412376 PECOS PAC ID: 9931271335 Enrollment ID: O20230724003459 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Conrad Fassold, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Brian Conrad Fassold, PT, DPT 7211 W 110th St, Overland Park, KS 66210-2339 Ph: (913) 451-7373 |
Jennifer Jeanne Walawender, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10777 Nall Ave, Suite 320, Overland Park, KS 66211 Phone: 913-312-1777 | |
Donya Marie Goman, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7819 Conser Pl, Overland Park, KS 66204 Phone: 913-789-9900 | |
Dr. Joseph Taylor Stofferahn, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10400 W 103rd St Ste 22, Overland Park, KS 66214 Phone: 913-322-4000 | |
Nancy Jo Rosenthal Huck, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7279 W 105th St, Overland Park, KS 66212 Phone: 913-642-7746 Fax: 913-642-7745 | |
Kacie Beebe, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10400 W 103rd St Ste 22, Overland Park, KS 66214 Phone: 913-322-4000 | |
Hayden M Olson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15040 Newton Dr, Overland Park, KS 66223 Phone: 913-808-5245 | |
Anne Wetterer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 10300 W 103rd St., 300, Overland Park, KS 66214 Phone: 913-894-1910 |