SERC REHABILITATION PARTNERS, LLC (NPI# 1083978522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083978522 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS, LLC |
| Other Organization Name | SERC - LIBERTY |
| Practice Address |
9760 N Ash Ave Kansas City MO 64157-9742 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 8167920775 |
| Practice Fax Number | 8164079400 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2015-12-01 |
| 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 |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SERC - Liberty | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386154953 | Serc Rehabilitation Partners, LLC | Occupational Therapist | 21161 W 223rd St, Spring Hill, KS 66083-3042 | 2017-10-09 |
| 1871834697 | Serc Rehabilitation Partners, LLC | Clinic/Center | 2001 N State Route 7 Ste B, Pleasant Hill, MO 64080-8005 | 2013-03-04 |
| 1679837124 | Serc Rehabilitation Partners, LLC | Clinic/Center | 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 | 2012-06-29 |
| 1427312818 | Serc Rehabilitation Partners, LLC | Clinic/Center | 5799 Broadmoor St Ste 300, Mission, KS 66202-2421 | 2012-06-29 |
| 1831453372 | Serc Rehabilitation Partners, LLC | Clinic/Center | 4240 Blue Ridge Blvd Ste 515, Kansas City, MO 64133-1713 | 2012-06-29 |
| 1891121877 | Serc Rehabilitation Partners, LLC | Clinic/Center | 3355 Main St, Kansas City, MO 64111-1904 | 2013-09-23 |
| 1629403290 | Serc Rehabilitation Partners, LLC | Clinic/Center | 3355 Main St, Kansas City, MO 64111-1904 | 2013-09-13 |
| 1760817472 | Serc Rehabilitation Partners, LLC | Physical Therapist | 101 W 92 Hwy Ste H, Kearney, MO 64060-7591 | 2013-09-12 |
| 1053746768 | Serc Rehabilitation Partners, LLC | Clinic/Center | 815 Westchester Ave, Harrisonville, MO 64701-1784 | 2013-09-12 |
| 1780019497 | Serc Rehabilitation Partners, LLC | Clinic/Center | 7932 N Oak Trfy Ste 212, Kansas City, MO 64118-1424 | 2013-09-12 |
| Street Address |
9760 N ASH AVE |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64157-9742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844637 | Dawn Marie Hentschke | Occupational Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2008-09-29 |
| 1518577022 | David Martin Smith | Physical Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2020-08-10 |
| 1063039626 | Ashleigh Nicole Gordon | Physical Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2020-06-30 |
| 1659922300 | Katelyn Elizabeth Kennison | Physical Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2019-09-24 |
| 1750871331 | Mitchell Markland Hackman | Physical Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2018-05-18 |
| 1518487669 | Jessica Noel Rickard | Physical Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2017-06-20 |
| 1922544006 | Taylor Marie Kaul | Physical Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2017-01-12 |
| 1083033096 | Margaret Casey Lindquist | Physical Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2014-04-08 |
| 1134448921 | Heidi Johanna Carstensen | Physical Therapist | 9760 N Ash Ave, Kansas City, MO 64157-9742 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609425008 | Jon Ann Esponge | Nurse Practitioner | 11021 N Potter Ave, Kansas City, MO 64157 | 2019-09-09 |
| 1376978510 | Tuan Bui | Optometrist | 8560 Church Rd, Kansas City, MO 64157 | 2013-09-06 |
| 1720219678 | America's Best Contacts & Eyeglasses | Technician/Technologist | 8650 North Flintlock, Kansas City, MO 64157 | 2009-07-27 |
| 1558588186 | Midwest Home Health Care, Inc. | Home Health | 9012 N Glenwood Ave, Kansas City, MO 64157 | 2007-04-18 |
| 1922138320 | Wolfgang Andrew Schaller | Dentist | 8672 N Flintlock Rd, Kansas City, MO 64157 | 2007-03-06 |
| 1710056502 | Shoal Creek Family Medicine and Allergy, PC | Family Medicine | 9784 N Ash Avenue, Kansas City, MO 64157 | 2006-11-07 |
| 1699851378 | Robert Kipp Klein | Dentist | 9764 N Ash, Kansas City, MO 64157 | 2006-10-27 |
| 1043343346 | Mary C Dugan | Nurse Practitioner | 9784 N Ash Avenue, Kansas City, MO 64157 | 2007-03-14 |
| 1912030297 | Meghan E Macy | Nurse Practitioner | 9784 N Ash Avenue, Kansas City, MO 64157 | 2007-03-14 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| Find all providers in zip 64157 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
| 1508362799 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1333 Meadowlark Ln Ste 200, Kansas City, KS 66102-1200 | 2018-04-05 |
| 1326582560 | Brandy Palacios | Clinic/Center | 1501 N 79th St, Kansas City, KS 66112-2183 | 2016-12-07 |
| 1578913380 | Boost Physical Therapy and Sports Performance | Clinic/Center | 1102 W 101st Ter Apt F, Kansas City, MO 64114-4289 | 2016-06-13 |
| 1154501385 | Advanced Physical Therapy and Sports Rehabilitation, P.a. | Clinic/Center | 6419 N Cosby Ave, Kansas City, MO 64151-2378 | 2007-11-05 |
| 1902936917 | Occupational Health Centers of Kansas Pa | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2007-03-07 |
| 1003946096 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2007-03-07 |
| 1396871364 | Occupational Health Centers of Kansas Pa | Clinic/Center | 4214 Kansas Ave, Kansas City, KS 66106-1119 | 2007-02-26 |
| 1366591216 | Hyperbaric Healing Institute | Clinic/Center | 10060 Nw Prairie View Rd, Kansas City, MO 64153-1344 | 2007-01-09 |
| 1457858524 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6501 E Commerce Ave Ste 110, Kansas City, MO 64120-2176 | 2018-04-06 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64157 |
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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.