Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Brian Conrad Fassold, PT, DPT

Individual provider Physical Therapist · NPI 1669817359

Brian Conrad Fassold, PT, DPT is a Physical Therapist in Overland Park, Kansas. Licensed in Kansas and Missouri. Registered with an NPI since 2013.

Licensed in
KS, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7211 W 110th St
Overland Park, KS 66210-2339
Phone: (913) 451-7373
Fax: (913) 451-7375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1104666 (KS)
Physical Therapist Taxonomy 225100000X · Licence 2020010998 (MO)

Record details

NPI number1669817359
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021

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