SERC REHABILITATION PARTNERS LLC (NPI# 1013384833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013384833 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS LLC |
| Other Organization Name | SERC - WEBB CITY |
| Practice Address |
501 S Madison St Ste L Webb City MO 64870-2502 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 4176732157 |
| Practice Fax Number | 4176732176 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS) |
| Authorized Official Telephone | 4232387217 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SERC - Webb City | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029468 | Serc Rehabilitation Partners LLC | Occupational Therapist | 13011 E 21st St N Ste 107, Wichita, KS 67230-7407 | 2019-08-26 |
| 1962980037 | Serc Rehabilitation Partners LLC | Occupational Therapist | 200 E Morrow St, Ste 1, Marshall, MO 65340-3326 | 2018-08-01 |
| 1114421922 | Serc Rehabilitation Partners LLC | Occupational Therapist | 1261 N Steamboat Dr Ste 2, Fayetteville, AR 72704-6262 | 2018-03-19 |
| 1912436627 | Serc Rehabilitation Partners LLC | Occupational Therapist | 11902 Blue Ridge Ext Ste 11906b, Grandview, MO 64030-1100 | 2017-06-06 |
| 1669905139 | Serc Rehabilitation Partners LLC | Clinic/Center | 2108 W 27th St, Ste K, Lawrence, KS 66047-3153 | 2017-04-11 |
| 1861823403 | Serc Rehabilitation Partners LLC | Clinic/Center | 3627 Se 29th St, Ste 107, Topeka, KS 66605-2013 | 2013-12-09 |
| 1447699244 | Serc Rehabilitation Partners LLC | Occupational Therapist | 13847 W 63rd St Ste 2, Shawnee, KS 66216-3800 | 2013-06-14 |
| 1770826471 | Serc Rehabilitation Partners LLC | Occupational Therapist | 19310 E 50th Ter S Ste A, Independence, MO 64055-5564 | 2013-04-01 |
| 1356695035 | Serc Rehabilitation Partners LLC | Occupational Therapist | 578 E Harrison St, Republic, MO 65738-1353 | 2012-11-02 |
| 1033473434 | Serc Rehabilitation Partners LLC | Occupational Therapist | 12755 S Mur Len Rd, Ste B1, Olathe, KS 66062-6804 | 2012-06-29 |
| Street Address |
501 S MADISON ST STE L |
| City | WEBB CITY |
| State | MO |
| Zip Code | 64870-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233748 | Joshua James Reed | Physical Therapist | 501 S Madison St, Webb City, MO 64870 | 2018-05-01 |
| 1083140859 | Katlyn Jo Douglas | Physical Therapist | 501 S Madison St, Ste L, Webb City, MO 64870-2502 | 2017-05-11 |
| 1003265356 | Zachary Austin White | Physical Therapist | 501 S Madison St, Ste L, Webb City, MO 64870-2502 | 2016-06-08 |
| 1295913085 | Alison M Rogers | Physical Therapist | 501 S Madison St, Ste L, Webb City, MO 64870-2502 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| 1639528011 | Adrian Esteban Soto | Dentist | 501 S.madison, Suite P, Webb City, MO 64870 | 2016-06-07 |
| 1518107895 | Joanie Marie Hatterman | Specialist/Technologist | 6151 N. Main Street Road, Webb City, MO 64870 | 2009-02-26 |
| 1184846438 | Carthage Assisted Living, LLC | Assisted Living Facility | 4316 N St Louis Rd, Webb City, MO 64870 | 2007-05-03 |
| 1508087768 | Jacqueline Leanne Young | Speech-Language Pathologist | 411 Madison, Webb City, MO 64870 | 2007-05-02 |
| 1689730392 | Mary Ella Parker | Counselor | 1906 Lakeview Dr, Webb City, MO 64870 | 2006-12-28 |
| 1790070050 | Hannah Baxter Andrews | Speech-Language Pathologist | 1829 Philadelphia, Webb City, MO 64870-1093 | 2011-06-15 |
| 1477769404 | Bristol Care, Inc. | Assisted Living Facility | 1803 N Main St, Webb City, MO 64870-1193 | 2007-05-15 |
| 1033245790 | Webb City R-7 School District | Speech-Language Pathologist | 411 N Madison St, Webb City, MO 64870-1238 | 2007-02-26 |
| 1528617248 | Carrie Roberts | Speech-Language Pathologist | 411 N Madison St, Webb City, MO 64870-1238 | 2019-09-05 |
| Find all providers in zip 64870 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563479 | Lydia Kay Blondin | Clinic/Center | 24158 Tanglewood Rd, Saint Robert, MO 65584-3815 | 2020-09-16 |
| 1275146474 | Beyond Recovery Physical Therapy, LLC | Clinic/Center | 2627 E Horning St, Springfield, MO 65802-2372 | 2020-08-26 |
| 1144839887 | Atr Justin LLC | Clinic/Center | 15882 Clayton Rd, Ellisville, MO 63011-2212 | 2020-07-29 |
| 1043836588 | Martin Ventures LLC | Clinic/Center | 3119 S Scenic Ave Ste B, Springfield, MO 65807-3965 | 2020-06-21 |
| 1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
| 1790252948 | Mercy Hospital Springfield | Clinic/Center | 448 Hwy 248 Ste 130, Branson, MO 65616-3725 | 2018-10-25 |
| 1477059517 | Occupational Health Centers of Kansas Pa | Clinic/Center | 19000 E Eastland Center Ct Ste 200, Independence, MO 64055-7023 | 2018-04-05 |
| 1326541475 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 1 Pratt Pl, Florissant, MO 63031-6557 | 2018-03-15 |
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1629590955 | Judice Consulting LLC | Clinic/Center | 700 Shallowcreek Vw, Ballwin, MO 63021-6618 | 2017-07-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.