SERC REHABILITATION PARTNERS, LLC (NPI# 1831453372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831453372 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS, LLC |
| Other Organization Name | SERC |
| Practice Address |
4240 Blue Ridge Blvd Ste 515 Kansas City MO 64133-1713 |
| Mailing Address |
17134 Bel Ray Pl Belton MO 64012-5331 |
| Practice Telephone | 8163530060 |
| Practice Fax Number | 8163530070 |
| 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 |
| 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 |
4240 BLUE RIDGE BLVD STE 515 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64133-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1356639074 | Michelle Paulette Cruickshank | Massage Therapist | 6522 Sterling Ave, Raytown, MO 64133 | 2011-07-15 |
| Find all providers in zip 64133 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659996585 | Suellen Caroline Cruz Johnson | Clinic/Center | 1120 E 77th Ter, Kansas City, MO 64131-1939 | 2020-06-16 |
| 1508362799 | Occupational Health Centers of Kansas Pa | Clinic/Center | 1333 Meadowlark Ln Ste 200, Kansas City, KS 66102-1200 | 2018-04-05 |
| 1326582560 | Brandy Palacios | Clinic/Center | 1501 N 79th St, Kansas City, KS 66112-2183 | 2016-12-07 |
| 1578913380 | Boost Physical Therapy and Sports Performance | Clinic/Center | 1102 W 101st Ter Apt F, Kansas City, MO 64114-4289 | 2016-06-13 |
| 1154501385 | Advanced Physical Therapy and Sports Rehabilitation, P.a. | Clinic/Center | 6419 N Cosby Ave, Kansas City, MO 64151-2378 | 2007-11-05 |
| 1902936917 | Occupational Health Centers of Kansas Pa | Clinic/Center | 720 Oak Street, Kansas City, MO 64106 | 2007-03-07 |
| 1003946096 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6401 E Front St, Kansas City, MO 64120-1356 | 2007-03-07 |
| 1396871364 | Occupational Health Centers of Kansas Pa | Clinic/Center | 4214 Kansas Ave, Kansas City, KS 66106-1119 | 2007-02-26 |
| 1366591216 | Hyperbaric Healing Institute | Clinic/Center | 10060 Nw Prairie View Rd, Kansas City, MO 64153-1344 | 2007-01-09 |
| 1457858524 | Occupational Health Centers of Kansas Pa | Clinic/Center | 6501 E Commerce Ave Ste 110, Kansas City, MO 64120-2176 | 2018-04-06 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64133 |
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.