SERC REHABILITATION PARTNERS, LLC (NPI# 1891121877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891121877 |
| Entity Type | Organization |
| Organization Name | SERC REHABILITATION PARTNERS, LLC |
| Other Organization Name | SERC |
| Practice Address |
3355 Main St Kansas City MO 64111-1904 |
| Mailing Address |
17134 Bel Ray Pl Belton MO 64012-5331 |
| Practice Telephone | 8163990806 |
| Practice Fax Number | 8163990801 |
| Mailing Telephone | 8163180436 |
| Mailing Fax Number | 8163180437 |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |
| Authorized Official Name | KILEY RUSSELL (MANAGER) |
| Authorized Official Telephone | 4232387217 |
| 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 | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
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 |
| 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 |
3355 MAIN ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477108710 | Nathaniel Shane Coburn | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2019-08-05 |
| 1841850716 | Shelby Lee Fagan | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2019-06-13 |
| 1912565094 | Kathryne Suzanne Bever | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2019-06-03 |
| 1881174514 | Jessica Nguyen | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2018-08-21 |
| 1871035683 | Paula Michelle Holm | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2016-11-10 |
| 1942657028 | Kara Diane Chapman | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2016-05-19 |
| 1427466028 | Lauren Abel Trent | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2014-07-27 |
| 1629403290 | Serc Rehabilitation Partners, LLC | Clinic/Center | 3355 Main St, Kansas City, MO 64111-1904 | 2013-09-13 |
| 1326251422 | Matthew Joseph Oleksy | Physical Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2007-05-07 |
| 1811946015 | Kathleen A Atchison | Occupational Therapist | 3355 Main St, Kansas City, MO 64111-1904 | 2006-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| 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 | 64111 |
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.