SERC REHABILITATION PARTNERS LLC (NPI# 1225530173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225530173 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS LLC |
| Other Organization Name | SERC - EL DORADO, KS |
| Practice Address |
2348 W Central Ave Ste B El Dorado KS 67042-3465 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 3164525099 |
| Practice Fax Number | 3164525053 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS) |
| Authorized Official Telephone | 4232382313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225100000X | Physical Therapist | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| SERC - El Dorado, KS | Other Name - Individual/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 |
2348 W CENTRAL AVE STE B |
| City | EL DORADO |
| State | KS |
| Zip Code | 67042-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477840627 | Kathryn Ferrantelle Fisher | Physical Therapist | 2348 W Central Ave Ste B, El Dorado, KS 67042-3465 | 2011-07-07 |
| 1740622711 | Hannah Mae Vignery | Physical Therapist | 2348 W Central Ave Ste B, El Dorado, KS 67042-3465 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821526104 | Nolan Ryan Andrews | Dentist | 535 S. Main Street, El Dorado, KS 67042 | 2017-05-31 |
| 1902262355 | Lisbeth Leiber | Nurse Practitioner | 1737 Se Hwy 54, El Dorado, KS 67042 | 2016-01-14 |
| 1992180202 | Jennifer Clausing | Pharmacist | 205 N. Vine, El Dorado, KS 67042 | 2015-07-28 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1316341027 | William L Wade | Nurse Practitioner | 1737 Se Highway 54, Eldorado, KS 67042 | 2014-10-09 |
| 1205070612 | Gabriel Omar De La Garza | Otolaryngology | 700 W Central Ave Suite 200, Eldorado, KS 67042 | 2009-04-29 |
| 1962608893 | South Central Mental Health Counseling Center Inc | Social Worker | 120 S Gordy, 3, El Dorado, KS 67042 | 2007-06-26 |
| 1699987958 | Grene Vision Group LLC | Ophthalmology | 1400 W Central, El Dorado, KS 67042 | 2007-05-07 |
| 1548388598 | Richard Alan Burton | Dentist | 310 Oil Hill Road, El Dorado, KS 67042 | 2007-03-27 |
| 1710002472 | Tender Care Pediatrics Pa | Pediatrics | 700 W. Central Ave, Ste 210, El Dorado, KS 67042 | 2007-03-20 |
| Find all providers in zip 67042 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639182 | Melynda Jade Sanchez | Physical Therapist | 720 W Central Ave Ste 206, El Dorado, KS 67042-2112 | 2020-08-13 |
| 1700423217 | Shari Kaye Scheffler | Physical Therapist | 720 W Central Ave Ste 400, El Dorado, KS 67042-2112 | 2019-12-03 |
| 1700295276 | Kent Mccuistion | Physical Therapist | 5104 Ne 50th St, El Dorado, KS 67042-0729 | 2014-08-08 |
| 1790104172 | Marlene Deiparine Oliver | Physical Therapist | 205 Chula Vista Rd, El Dorado, AR 71730-2945 | 2014-04-14 |
| 1477840627 | Kathryn Ferrantelle Fisher | Physical Therapist | 2348 W Central Ave Ste B, El Dorado, KS 67042-3465 | 2011-07-07 |
| 1154582682 | Jessica Leigh Michel | Physical Therapist | 700 W Central Ave Ste 101, El Dorado, KS 67042-2187 | 2008-06-18 |
| 1023217486 | Jennifer Lynn Martin | Physical Therapist | 2700 Vine St., El Dorado, AR 71730 | 2007-07-16 |
| 1659463586 | Rhonda Ann Cardin | Physical Therapist | 203 W. Grove St., Grove Street Pt Clinic, El Dorado, AR 71730-4646 | 2006-09-28 |
| 1568457539 | Alice Jean Crawley | Physical Therapist | 2700 Vine Street, El Dorado, AR 71730-6700 | 2005-09-15 |
| 1902421829 | Anna Fairris | Physical Therapist | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-06-16 |
| Find all providers in EL DORADO | ||||
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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.