SERC REHABILITATION PARTNERS, LLC (NPI# 1679837124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679837124 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS, LLC |
| Other Organization Name | SERC |
| Practice Address |
540 E Young Ave Ste E Warrensburg MO 64093-1250 |
| Mailing Address |
17134 Bel Ray Pl Belton MO 64012-5331 |
| Practice Telephone | 6607470247 |
| Practice Fax Number | 6607470347 |
| Mailing Telephone | 8165245130 |
| Mailing Fax Number | 8165246115 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2013-09-04 |
| Authorized Official Name | KILEY RUSSELL (MANAGER) |
| Authorized Official Telephone | 4232388923 |
| 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 | 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 |
| 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 |
| 1942635651 | Serc Rehabilitation Partners, LLC | Occupational Therapist | 10801 E State Route 350, Raytown, MO 64138-2367 | 2013-09-12 |
| Street Address |
540 E YOUNG AVE STE E |
| City | WARRENSBURG |
| State | MO |
| Zip Code | 64093-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245848977 | Robert James Massman | Physical Therapist | 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 | 2020-07-20 |
| 1629691472 | Charles Alexander Maupin | Physical Therapist | 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 | 2020-05-27 |
| 1477112647 | Emmanuel Erwin Villaflor | Physical Therapist | 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 | 2019-06-11 |
| 1063078004 | Brandon Timothy Alumbaugh | Physical Therapist | 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 | 2019-05-15 |
| 1689152258 | Megan Laurel Batusic | Specialist/Technologist | 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 | 2018-08-05 |
| 1629564372 | Kelsi Lyn Bennett | Physical Therapist | 540 E Young Ave Ste E, Warrensburg, MO 64093 | 2018-07-05 |
| 1669721908 | Erika Michelle Jennings | Physical Therapy Assistant | 540 E Young Ave Ste E, Warrensburg, MO 64093-1250 | 2012-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752144 | Joshua Tyler Allman | Specialist/Technologist | 500 South Maguire Street, Warrensburg, MO 64093 | 2019-04-04 |
| 1477015220 | Kelly Maurine Warford | Specialist/Technologist | Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1104388958 | Kaitlyn Nicole Edison | Specialist/Technologist | 108 W South Street, Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1891257663 | Mckenzie Higgins | Student in an Organized Health Care Education/Training Program | University of Central Missouri Morrow 125, Warrensburg, MO 64093 | 2019-04-02 |
| 1780142901 | Scott C Huff | Marriage & Family Therapist | Uhc 102, Warrensburg, MO 64093 | 2019-03-06 |
| 1144701079 | Summers Pharmacy of Warrensburg, LLC | Pharmacy | 611 Burkarth Rd, Warrensburg, MO 64093 | 2018-08-28 |
| 1174010037 | Stephen Joseph Sattler | Student in an Organized Health Care Education/Training Program | 108 West South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-17 |
| 1871090522 | Leah Harold | Student in an Organized Health Care Education/Training Program | 108 W. South Street, Morrow 125, Warrensburg, MO 64093 | 2018-04-10 |
| 1396245544 | Patricia J Turner | Speech-Language Pathologist | 201 S Holden Street, Po Box 638, Warrensburg, MO 64093 | 2018-02-14 |
| 1467952721 | Corie Z'hane Williams | Student in an Organized Health Care Education/Training Program | 500 S Maguire St, Warrensburg, MO 64093 | 2018-02-13 |
| Find all providers in zip 64093 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851425912 | Central Physical Rehabilitation and Sports Medicine, LLC | Clinic/Center | 407 E Russell Ave Bldg A, Suite 6, Warrensburg, MO 64093-1242 | 2007-03-14 |
| 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 | ||||
| City | WARRENSBURG |
| Zip Code | 64093 |
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.