SERC REHABILITATION PARTNERS LLC (NPI# 1689116758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689116758 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS LLC |
| Other Organization Name | SERC - STANLEY, KS |
| Practice Address |
8019 W 151st St Overland Park KS 66223-2115 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 9136855835 |
| Practice Fax Number | 9136855859 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |
| 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 |
KS | Ambulatory Health Care Facilities | |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
KS | Ambulatory Health Care Facilities | |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SERC - Stanley, KS | 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 |
8019 W 151ST ST |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66223-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346637246 | Tyler Thomas Lampe | Physical Therapist | 8019 W 151st St, Overland Park, KS 66223-2115 | 2015-04-20 |
| 1831758309 | Joseph Thomas Kopp Jr. | Physical Therapist | 8019 W 151st St, Overland Park, KS 66223-2115 | 2019-06-10 |
| 1295221901 | Elizabeth Renee Shelly | Physical Therapist | 8019 W 151st St, Overland Park, KS 66223-2115 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313566 | Midwest Orthopedic Network Kansas | Neuromusculoskeletal Medicine, Sports Medicine | 6500 W 143rd Street, Overland Park, KS 66223 | 2018-07-19 |
| 1073018446 | Davidson Family Chiropractic LLC | Chiropractor | 7951 West 160th Street, Suite 500, Overland Park, KS 66223 | 2018-03-28 |
| 1104354794 | Blue Valley Dermatology | Dermatology | 7840 W 165th Street, Suite 260, Overland Park, KS 66223 | 2017-05-26 |
| 1417495797 | Eye Associates of South Overland Park | Optometrist | 8029 W 159th St., Overland Park, KS 66223 | 2017-02-07 |
| 1255876652 | Shawnee Mission Medical Center Inc | General Acute Care Hospital | 7820 W 165th Street, Overland Park, KS 66223 | 2016-12-21 |
| 1679921902 | Jake Westley Davidson | Chiropractor | 7951 W 160th Street, Suite 500, Overland Park, KS 66223 | 2016-05-26 |
| 1356709281 | Peak Health, LLC | Physical Medicine & Rehabilitation | 7555 W 150th St Ste A, Overland Park, KS 66223 | 2016-02-06 |
| 1881068179 | Jalaleddin Zakeri | Chiropractor | 7504 W 156 St, Overland Park, KS 66223 | 2015-11-24 |
| 1972999688 | Karen Gell | Pharmacy Technician | 8101 West 151st Street, Overland Park, KS 66223 | 2015-04-09 |
| 1861812869 | Acute Spinal Rehab Pa | Chiropractor | 7555 W 150th Street, Overland Park, KS 66223 | 2014-04-17 |
| Find all providers in zip 66223 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1720338098 | Bsp Kansas | Clinic/Center | 16052 Foster Street, Overland Park, KS 66085 | 2012-09-14 |
| 1487903951 | Bsp Kansas LLC | Clinic/Center | 16052 Foster St, Overland Park, KS 66085-8876 | 2012-08-30 |
| 1134396088 | Specialists In Orthopedic and Athletic Rehabilitation LLC | Clinic/Center | 14868 Metcalf Ave, Overland Park, KS 66223-2206 | 2008-05-09 |
| 1447377015 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 6555 W 75th St, Apt #3, Overland Park, KS 66204-3023 | 2007-03-26 |
| 1003961533 | Associated Physical Therapists of Kansas,pa | Clinic/Center | 9391 W 75th St, Overland Park, KS 66204-2231 | 2007-01-24 |
| 1538184536 | Performance Rehab, LLC | Clinic/Center | 11504 West 135th Street, Overland Park, KS 66221-3760 | 2006-07-12 |
| 1053368621 | Arc Overland Park LLC | Clinic/Center | 9201 Foster St, Overland Park, KS 66212-2295 | 2006-05-28 |
| 1811941479 | Advanced Physical Therapy and Sports Rehabilitation, Pa | Clinic/Center | 10740 Nall Ave Ste 215, Overland Park, KS 66211-1296 | 2006-05-19 |
| 1780060160 | Logan Hubbard | Clinic/Center | 13800 Metcalf Ave, Overland Park, KS 66223-1200 | 2015-08-07 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66223 |
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.