SERC REHABILITATION PARTNERS, LLC (NPI# 1740544147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740544147 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS, LLC |
| Other Organization Name | SERC |
| Practice Address |
7162 Renner Rd Shawnee KS 66217-9409 |
| Mailing Address |
17134 Bel Ray Pl Belton MO 64012-5331 |
| Practice Telephone | 9139627770 |
| Practice Fax Number | 9139627775 |
| 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 |
7162 RENNER RD |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66217-9409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619921137 | Russell A Wiglesworth | Physical Therapist | 7162 Renner Rd, Shawnee, KS 66217-9409 | 2006-05-20 |
| 1245438464 | Robyn Diane Williams | Physical Therapist | 7162 Renner Rd, Shawnee, KS 66217-9409 | 2007-07-10 |
| 1235333071 | Andrea R Kristoff | Physical Therapist | 7162 Renner Rd, Shawnee, KS 66217-9409 | 2007-06-14 |
| 1891868584 | Sarah Jean Jolly | Physical Therapy Assistant | 7162 Renner Rd, Shawnee, KS 66217-9409 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
| 1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
| 1164824744 | Amy M Brettman | Internal Medicine | 7230 Renner Road, Shawnee, KS 66217 | 2014-09-25 |
| 1811232622 | U.S. Pt Therapy Services Inc. | Physical Therapist | 7448 West Frontage Road, Merriam, KS 66217 | 2012-12-05 |
| 1508179193 | Capstone Dentistry, LLC | Clinic/Center | 17212 Midland Dr, Shawnee, KS 66217 | 2010-07-23 |
| 1417014010 | Jo Jeanne Callaway | Psychiatry & Neurology | 5400 Lackman Road, Shawnee, KS 66217 | 2007-01-02 |
| 1316009111 | Eye Associates of Shawnee Pa | Optometrist | 15951 W 65th St, Shawnee, KS 66217 | 2006-12-15 |
| 1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1790719276 | Minnie J Baldridge | Audiologist | 15939 W 65th St, Shawnee, KS 66217 | 2006-07-10 |
| Find all providers in zip 66217 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609267913 | Freedom Physical Therapy and Training Center Pa | Clinic/Center | 7732 Hedge Lane Terrace, Shawnee, KS 66227 | 2015-02-09 |
| 1043405475 | Shawnee Physical Therapy PC | Clinic/Center | 909 N Kickapoo Ave, Shawnee, OK 74801-5729 | 2007-09-10 |
| 1063774586 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 412 N Broadway Ave, Number 416, Shawnee, OK 74801-6922 | 2012-06-11 |
| 1326188012 | Arc Therapy Services LLC | Clinic/Center | 12802 Johnson Dr, Shawnee, KS 66216-1645 | 2007-02-08 |
| 1932135449 | Us Pt Therapy Services Inc. | Clinic/Center | 16018 W 65th St, Shawnee, KS 66217-9302 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230690 | Amazing Hands Therapy Services LLC | Clinic/Center | 10715 W 35th St S, Wichita, KS 67215-8647 | 2020-09-20 |
| 1568096998 | Webb Physical Therapy LLC | Clinic/Center | 4910 Wakarusa Ct, Lawrence, KS 66047-1856 | 2020-02-25 |
| 1487287082 | Phoenix Physical Therapy LLC | Clinic/Center | 12627 E Central Ave Ste 308, Wichita, KS 67206-2839 | 2020-02-21 |
| 1487205662 | Fit Pt and Wellness LLC | Clinic/Center | 323 W 24th St, Hays, KS 67601-3007 | 2019-09-27 |
| 1942767967 | Athletico Ltd | Clinic/Center | 14900 W 87th Street Pkwy, Lenexa, KS 66215-4159 | 2019-02-26 |
| 1508362799 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1333 Meadowlark Ln Ste 200, Kansas City, KS 66102-1200 | 2018-04-05 |
| 1487160255 | Femme Focus, L.L.C. | Clinic/Center | 7927 Floyd, Rm 5, Home Family Holistic Center, Overland Park, KS 66204 | 2017-12-15 |
| 1447787353 | Greg Jay Mugler | Clinic/Center | 610 N Osage St, Oxford, KS 67119-8242 | 2017-05-23 |
| 1659817476 | Premier Rehab Specialists, Pllc | Clinic/Center | 1517 Cr 1200, Caney, KS 67333-2839 | 2017-01-18 |
| 1326582560 | Brandy Palacios | Clinic/Center | 1501 N 79th St, Kansas City, KS 66112-2183 | 2016-12-07 |
| Find all providers with the same taxonomy | ||||
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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.