SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC (NPI# 1962450569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962450569 |
| Entity Type | Organization |
| Organization Name | SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC |
| Other Organization Name | SERC OF KANSAS CITY NORTH; SERC OF METRO NORTH |
| Practice Address |
220 Nw Platte Valley Dr Riverside MO 64150-9793 |
| Practice Telephone | 8165053422 |
| Practice Fax Number | 8165053312 |
| Mailing Telephone | 8165053422 |
| Mailing Fax Number | 8165053312 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | ROBERT A MITCHELL (CLINIC DIRECTOR/OWNER) |
| Authorized Official Telephone | 8165053422 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 103074 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 27888022 | 01 |
| Other Name | Type Code |
|---|---|
| SERC of Kansas City North; SERC of Metro North | Doing Business As Name - Organization |
| Street Address |
220 NW PLATTE VALLEY DR |
| City | RIVERSIDE |
| State | MO |
| Zip Code | 64150-9793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1700140258 | Serc Rehabilitation Partners, LLC | Clinic/Center | 220 Nw Platte Valley Dr, Riverside, MO 64150-9793 | 2012-06-29 |
| 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 | 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 |
|---|---|---|---|---|
| 1902416019 | Rauni Shirley | Physical Therapist | 11555 Trailway Dr, Riverside, CA 92505-3473 | 2020-08-04 |
| 1053939835 | James L Miller | Physical Therapist | 6235 River Crest Dr Ste L, Riverside, CA 92507-0758 | 2020-07-08 |
| 1255803680 | Hillary Florence Gow-sujo | Physical Therapist | 3400 Central Ave Ste 145, Riverside, CA 92506-2161 | 2018-12-24 |
| 1487124095 | Christa Swenson | Physical Therapist | 6180 Brockton Ave Ste 101, Riverside, CA 92506-2259 | 2018-11-27 |
| 1285117218 | Ciara Jean Scott | Physical Therapist | 4200 Latham St Ste C1, Riverside, CA 92501-1780 | 2018-09-14 |
| 1689155939 | Kiri Ailene Krishingner | Physical Therapist | 4270 Riverwalk Pkwy Ste 114, Riverside, CA 92505-3374 | 2018-08-24 |
| 1215436944 | Justin Joseph Luna | Physical Therapist | 3421 Arlington Ave Ste 105, Riverside, CA 92506-3254 | 2018-02-08 |
| 1184130031 | Ryan Karrow | Physical Therapist | 920 Central Ave Unit 101, Riverside, CA 92507-0239 | 2017-12-14 |
| 1528578119 | Zachary Weijohn | Physical Therapist | 4085 Brockton Ave, Riverside, CA 92501-3440 | 2017-10-09 |
| 1881123180 | Lucas Mogensen | Physical Therapist | 1171 E Putnam Ave Bldg 22nd, Riverside, CT 06878-1426 | 2017-06-08 |
| 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.