SERC REHABILITATION PARTNERS LLC (NPI# 1679012983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679012983 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS LLC |
| Other Organization Name | SERC - WALDO, MO |
| Practice Address |
2 E Gregory Blvd Ste 200 Kansas City MO 64114-1118 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 8169260222 |
| Practice Fax Number | 8169260277 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-21 |
| 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 |
MO | Ambulatory Health Care Facilities | |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
MO | Ambulatory Health Care Facilities | |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SERC - Waldo, MO | 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 |
2 E GREGORY BLVD STE 200 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083026439 | Matthew Harold Winkle | Physical Therapist | 2 E Gregory Blvd, Ste 200, Kansas City, MO 64114-1118 | 2014-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| 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 | 64114 |
Please comment or provide details below to improve the information on SERC REHABILITATION PARTNERS LLC.
| 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.