SERC REHABILITATION PARTNERS LLC (NPI# 1770980146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770980146 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS LLC |
| Other Organization Name | SERC - GARDNER |
| Practice Address |
225 N Moonlight Rd Gardner KS 66030-1928 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 9138567927 |
| Practice Fax Number | 9138568442 |
| Mailing Telephone | (423) 238-7217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2017-06-06 |
| 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 | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICARE PTAN | KA2868 | 01 |
| Other Name | Type Code |
|---|---|
| SERC - Gardner | Doing Business As Name - Organization |
| SERC - Gardner | Other Name - Individual/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 |
225 N MOONLIGHT RD |
| City | GARDNER |
| State | KS |
| Zip Code | 66030-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023062007 | Kelly Anne Yates | Physical Therapist | 225 N Moonlight Rd, Gardner, KS 66030-1928 | 2006-05-22 |
| 1962925636 | Micah Steven Sanders | Physical Therapist | 225 N Moonlight Rd, Gardner, KS 66030-1928 | 2017-07-25 |
| 1255851754 | Karley Lynn Perry | Physical Therapist | 225 N Moonlight Rd, Gardner, KS 66030-1928 | 2017-06-26 |
| 1932597747 | Serc Rehabilitation Partners LLC | Clinic/Center | 225 N Moonlight Rd, Gardner, KS 66030-1928 | 2014-12-31 |
| 1760779334 | Callie Paige Stephens | Physical Therapist | 225 N Moonlight Rd, Gardner, KS 66030-1928 | 2011-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770053340 | Arismun Bobby Rattanapon | Student in an Organized Health Care Education/Training Program | 320 W Westhoff Pl, Gardner, KS 66030 | 2018-11-27 |
| 1790273282 | Amy Michelle Bokelman | Pharmacist | 1725 E Sante Fe St, Gardner, KS 66030 | 2018-04-30 |
| 1720450422 | Sheila Mcniff | Pharmacist | 1725 East Santa Fe Street, Gardner, KS 66030 | 2015-10-21 |
| 1609061795 | Cook Family Chiropractic Inc. | Chiropractor | 969 E. Lincoln Ln., Gardner, KS 66030 | 2007-09-11 |
| 1306057716 | Paul D. Mabe, Dds, Chartered | Dentist | 971 E. Lincoln Ln., Gardner, KS 66030 | 2007-05-25 |
| 1396954483 | Brian Todd Cook | Chiropractor | 969 E. Lincoln Lane, Gardner, KS 66030 | 2007-05-22 |
| 1619198116 | Toni Eyer | Occupational Therapy Assistant | 223 Bedford Street, Gardner, KS 66030 | 2007-05-01 |
| 1598855389 | Kristin Mary Vanbecelaere | Optometrist | 1555 E Santa Fe St, Gardner, KS 66030 | 2006-10-13 |
| 1104926997 | Wal-mart Stores, Inc. | Technician/Technologist | 1555 E. Santa Fe St., Gardner, KS 66030 | 2006-09-22 |
| 1861445561 | John L Sherard | Family Medicine | 18320 So Center St, Gardner, KS 66030 | 2006-05-17 |
| Find all providers in zip 66030 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841670254 | Jacob Watterson | Physical Therapist | 69 Pearson Blvd, Gardner, MA 01440-3368 | 2015-06-02 |
| 1023062007 | Kelly Anne Yates | Physical Therapist | 225 N Moonlight Rd, Gardner, KS 66030-1928 | 2006-05-22 |
| 1619588829 | Lisa Marie Reedich | Physical Therapist | 32 Hospital Hill Rd, Gardner, MA 01440-2302 | 2020-08-11 |
| 1336604859 | Colleen Jean | Physical Therapist | 725 Timpany Blvd, Gardner, MA 01440-3453 | 2019-02-08 |
| 1962925636 | Micah Steven Sanders | Physical Therapist | 225 N Moonlight Rd, Gardner, KS 66030-1928 | 2017-07-25 |
| 1255851754 | Karley Lynn Perry | Physical Therapist | 225 N Moonlight Rd, Gardner, KS 66030-1928 | 2017-06-26 |
| 1255717542 | Ryan Barragree | Physical Therapist | 824 E Main St, Gardner, KS 66030-1287 | 2015-08-10 |
| 1326316837 | Crystal Mary Marsh | Physical Therapist | 34 Pearly Ln, Gardner, MA 01440-1736 | 2011-12-12 |
| 1770851859 | Dawn Michelle Prentiss | Physical Therapist | 34 Pearly Ln, Gardner, MA 01440-1736 | 2011-12-05 |
| 1275801490 | Margaret A Whitney | Physical Therapist | 34 Pearly Ln, Gardner, MA 01440-1736 | 2011-12-02 |
| Find all providers in GARDNER | ||||
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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.