SERC REHABILITATION PARTNERS, LLC (NPI# 1700140258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700140258 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS, LLC |
| Other Organization Name | SERC |
| Practice Address |
220 Nw Platte Valley Dr Riverside MO 64150-9793 |
| Mailing Address |
17134 Bel Ray Pl Belton MO 64012-5331 |
| Practice Telephone | 8165053422 |
| Practice Fax Number | 8165053312 |
| 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 |
| 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 |
220 NW PLATTE VALLEY DR |
| City | RIVERSIDE |
| State | MO |
| Zip Code | 64150-9793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962450569 | Spine & Extremity Rehabilitation Center of Kansas City North Inc | Physical Therapist | 220 Nw Platte Valley Dr, Riverside, MO 64150-9793 | 2006-05-05 |
| 1588276455 | Sarah Nicole Gallentine | Physical Therapist | 220 Nw Platte Valley Dr, Riverside, MO 64150-9793 | 2020-08-20 |
| 1073121208 | Rachel Lynn Kimmich | Physical Therapist | 220 Nw Platte Valley Dr, Riverside, MO 64150-9793 | 2020-07-14 |
| 1821401530 | Riley Tegan Mahn | Physical Therapist | 220 Nw Platte Valley Dr, Riverside, MO 64150-9793 | 2014-06-10 |
| 1801847124 | Robert Alan Mitchell | Physical Therapist | 220 Nw Platte Valley Dr, Riverside, MO 64150-9793 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053437392 | Sunflower Dermatology & Day Spa LLC | Dermatology | 1805 Nw Platte Rd., Suite 120, Riverside, MO 64150 | 2007-03-21 |
| 1063897395 | Kyle Wong | Internal Medicine | 4742 Nw Riverside Dr, Riverside, MO 64150-1102 | 2015-07-28 |
| 1376160515 | Abigail Hardy Rives | Social Worker | 4800 Nw Cliff View Dr Apt 402, Riverside, MO 64150-1207 | 2020-07-04 |
| 1497972624 | Riverside Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 4700 Nw Cliffview Drive, Riverside, MO 64150-1237 | 2007-04-19 |
| 1801908967 | 4700 Cliff View Drive Operating Company LLC | Skilled Nursing Facility | 4700 Nw Cliff View Dr, Kansas City, MO 64150-1237 | 2006-08-31 |
| 1548883549 | Elizabeth Danielle Ham | Physical Therapy Assistant | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2020-05-26 |
| 1730503558 | Kimberly Cowgill | Registered Nurse | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2014-02-13 |
| 1033462114 | Stacey Jo Russell | Physical Therapy Assistant | 4700 Nw Cliff View Dr, Riverside, MO 64150-1237 | 2012-10-26 |
| 1487869772 | Integrated Health Services of Cliff Manor, Inc. | Nursing Facility/Intermediate Care Facility | 4700 Nw Cliff View Dr, Kansas City, MO 64150-1237 | 2007-05-11 |
| 1568557205 | Swope Health Services | Clinic/Center | 2906 Nw Vivion Rd, Riverside, MO 64150-1502 | 2006-10-04 |
| Find all providers in zip 64150 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663475 | Confluent Therapy Solutions, LLC | Clinic/Center | 14 Lunn St, Riverside, RI 02915-1628 | 2020-09-15 |
| 1922299338 | Total Wellness Inc | Clinic/Center | 3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188 | 2007-08-09 |
| 1376661090 | Southern California Occupational Medicine Providers, Amc | Clinic/Center | 1405 Spruce St., Ste. F, Riverside, CA 92507 | 2007-03-27 |
| 1467530436 | A & G Health Service Inc. | Clinic/Center | 4343 Market St Ste B, Riverside, CA 92501-3517 | 2006-11-01 |
| 1285190942 | Marketplace Physical Therapy Inc. Apc | Clinic/Center | 3191 Mission Inn Ave Ste B, Riverside, CA 92507-4188 | 2019-02-18 |
| 1215284666 | Integrated Injury Management Services Inc | Clinic/Center | 2900 Adams St, C130, Riverside, CA 92504-4335 | 2012-08-03 |
| 1871810762 | Rivercrest Physical Therapy, Inc. | Clinic/Center | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2010-04-30 |
| 1144409079 | A&g Health Services, Inc. | Clinic/Center | 4343 Market St Ste B, Riverside, CA 92501-3567 | 2007-10-27 |
| 1770700023 | Orthopaedic Physical Therapy Institute | Clinic/Center | 5225 Canyon Crest Dr, Suite 205, Riverside, CA 92507-6301 | 2007-04-19 |
| 1467563643 | Global Rehabilitation Inc. | Clinic/Center | 3590 Central Ave Ste 210, 3590 Central Ave Suite 210, Riverside, CA 92506-2708 | 2006-08-31 |
| Find all providers in RIVERSIDE | ||||
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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.