SERC REHABILITATION PARTNERS LLC (NPI# 1629490156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629490156 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS LLC |
| Other Organization Name | SERC - MISSION |
| Practice Address |
6640 Johnson Dr Mission KS 66202-2617 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 9133845810 |
| Practice Fax Number | 9133840719 |
| Mailing Telephone | (423) 238-7217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2014-01-17 |
| 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 | GROUP MEDICARE PTAN | KA2868 | 01 |
| Other Name | Type Code |
|---|---|
| SERC - Mission | 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 |
6640 JOHNSON DR |
| City | MISSION |
| State | KS |
| Zip Code | 66202-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200654 | Deborah K Moore-rainey | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2005-07-22 |
| 1295341295 | Stacy Christine Coffyn | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2020-09-16 |
| 1295397396 | Sarah Baylee Engle | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2019-06-28 |
| 1740841725 | Jaron Thomas Perry | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2019-06-21 |
| 1609335124 | Sneha Kumari | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2019-03-14 |
| 1841779147 | Alyssa Carolyne Perley | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2018-08-08 |
| 1760902985 | Jill Ann Wilson | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2017-06-20 |
| 1023549797 | Julia Nicole Beausoleil | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2017-03-24 |
| 1578006938 | Jennifer Mary Huddin | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2016-12-02 |
| 1104865997 | Elizabeth A Daze | Physical Therapist | 6640 Johnson Dr, Mission, KS 66202-2617 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863224 | Megan O'rear | Physical Therapist | 6907 Shawnee Mission Parkway, Ste. 207, Overland Park, KS 66202 | 2020-02-18 |
| 1114558194 | Erika Lynne Cool | Advanced Practice Midwife | 6131 Terrydale St., Merriam, KS 66202 | 2020-01-29 |
| 1215568464 | Andreas P Warren | Technician | 5100 Foxridge Dr. Apt 1524, Mission, KS 66202 | 2020-01-27 |
| 1831736099 | Lida Rose Keller | Registered Nurse | 6907 Shawnee Mission Parkway, Suite 207, Overland Park, KS 66202 | 2019-12-06 |
| 1215586235 | Stacy Grabowski | Physical Therapist | 6907 Shawnee Mission Pkwy, Ste. 207, Overland Park, KS 66202 | 2019-09-11 |
| 1932582566 | David Christian Murphy | Internal Medicine | 5030 Glenwood Dr., Mission, KS 66202 | 2015-07-01 |
| 1043609068 | Matthew M Christopher | Physical Therapy Assistant | 6616 Santa Fe Dr, Overland Park, KS 66202 | 2015-01-14 |
| 1710385786 | Tiffany Lorraine Eckland | Occupational Therapist | 8115 Shawnee Mission Parkway, Ste. #100, Merriam, KS 66202 | 2014-12-08 |
| 1720490261 | Antioch Dentistry Pa | Dentist | 5750 Antioch Road, Merriam, KS 66202 | 2014-06-02 |
| 1730529710 | Sierra Lynn Wright | Social Worker | 6000 Lamar Avenue, Suite 130, Mission, KS 66202 | 2013-07-05 |
| Find all providers in zip 66202 | ||||
| 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 |
|---|---|---|---|---|
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1659856367 | Mayra Banda | Physical Therapist | 2306 Fox Run St, Mission, TX 78574-3592 | 2018-09-27 |
| 1497115588 | Sergio Ed Gonzalez Jr. | Physical Therapist | 2815 Mimosa St Apt 2a, Mission, TX 78574-3812 | 2016-03-02 |
| 1922472836 | Rio Palma | Physical Therapist | 2000 Sunrise Ln, Mission, TX 78574-8396 | 2015-11-17 |
| 1831435684 | Lori Marie Mendez Abers | Physical Therapist | 1022 E Griffin Pkwy Ste 203, Mission, TX 78572-2402 | 2012-12-26 |
| 1023372281 | Gilberto De Leon | Physical Therapist | 1616 E Griffin Parkway Pmb 184, Mission, TX 78572-8477 | 2012-07-02 |
| 1396038014 | Tip of The Tongue Rehabilitation Services LLC | Physical Therapist | 9501 State Highway 107, Ste 3, Mission, TX 78573-1225 | 2011-05-27 |
| 1922230556 | Sarah Larson | Physical Therapist | 4208 Santa Olivia, Mission, TX 78572-8636 | 2009-08-15 |
| 1629217724 | Andre R Acuna | Physical Therapist | 2410 Dorado Dr, Mission, TX 78573-8450 | 2009-02-12 |
| 1265677355 | Swati Gupta | Physical Therapist | 4206 San Gabriel, Apt 7101, Mission, TX 78572-7290 | 2008-12-03 |
| Find all providers in MISSION | ||||
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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.