Jonathan Wesley Bundrick (NPI# 1982071221, PAC ID# 4486961497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1982071221 |
| PAC ID by PECOS | 4486961497 |
| Professional Enrollment ID | I20150923000872 |
| Full Name | Jonathan Wesley Bundrick |
| Organization Legal Name | SERC REHABILITATION PARTNERS LLC |
| Address |
10801 E State Route 350 Serc South Raytown Raytown MO 64138-2367 |
| Phone Number | 8167375502 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9830344563 |
| Number of Group Practice Members | 137 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 17134 Bel Ray Pl, Belton, MO 64012-5331 | 8163180434 | SERC REHABILITATION PARTNERS LLC |
| 10801 E State Route 350, Serc South Raytown, Raytown, MO 64138-2367 | 8167375502 | SERC REHABILITATION PARTNERS LLC |
| 10801 E State Route 350, Raytown, MO 64138-2367 | 8167375502 | SERC REHABILITATION PARTNERS LLC |
| Organization Legal Name | SERC REHABILITATION PARTNERS LLC |
| Physicians | 190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathaniel Shane Coburn | Physical Therapy | Serc Rehabilitation Partners LLC | 3355 Main St, Kansas City, MO 64111-1904 |
| Katelyn Elizabeth Kennison | Physical Therapy | Serc Rehabilitation Partners LLC | 9760 N Ash Ave, Kansas City, MO 64157-9742 |
| Bryan Gregory Romero | Physical Therapy | Serc Rehabilitation Partners LLC | 11902 Blue Ridge Ext, Suite 11906b, Grandview, MO 64030-1100 |
| Kyler Todd Offenbacker | Physical Therapy | Serc Rehabilitation Partners LLC | 1240 E Centerton Blvd, Centerton, AR 72719-1300 |
| Joseph Thomas Kopp Jr. | Physical Therapy | Serc Rehabilitation Partners LLC | 8019 W 151st St, Overland Park, KS 66223-2115 |
| Ryan Tyler Freeman | Physical Therapy | Serc Rehabilitation Partners LLC | 1227 E 32nd St, 7 Serc Joplin, Joplin, MO 64804-2904 |
| Taylor Anne Rees | Physical Therapy | Serc Rehabilitation Partners LLC | 908 Baltimore Ave, Suite 101, Kansas City, MO 64105-1707 |
| Sarah Baylee Ford | Physical Therapy | Serc Rehabilitation Partners LLC | 6640 Johnson Dr, Mission, KS 66202-2617 |
| Stephanie Ann Papik | Physical Therapy | Serc Rehabilitation Partners LLC | 10074 Woodland Dr, Serc Lenexa, Lenexa, KS 66220-3802 |
| Jennifer Ann Whipple | Physical Therapy | Serc Rehabilitation Partners LLC | 7925 State Ave, Suite 104, Kansas City, KS 66112-2422 |
| Street Address |
10801 E STATE ROUTE 350 SERC SOUTH RAYTOWN |
| City | RAYTOWN |
| State | MO |
| Zip | 64138-2367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darshan A Deole | Physical Therapy | Serc Rehabilitation Partners LLC | 10801 E State Route 350, Serc South Raytown, Raytown, MO 64138-2367 |
| Sara Elizabeth Arnold | Physical Therapy | Serc Rehabilitation Partners LLC | 10801 E State Route 350, Serc South Raytown, Raytown, MO 64138-2367 |
| Madison Suzanne Anderson | Occupational Therapy | Serc Rehabilitation Partners LLC | 10801 E State Route 350, Serc South Raytown, Raytown, MO 64138-2367 |
| Deborah Louise Bua | Occupational Therapy | Serc Rebabilitation Partners, LLC | 10801 E State Route 350, Raytown, MO 64138-2367 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Murray | Chiropractic | 10803 E State Hwy 350 B, Raytown, MO 64138-2383 | |
| David Earl Fray | Chiropractic | 10803 E State Route 350, Suite B, Raytown, MO 64138-2383 | |
| Jennifer A Brown | Nurse Practitioner | Rediscover | 8800 Blue Ridge Blvd, Suite 100, Kansas City, MO 64138-4000 |
| Dawny M Barnhart | Psychiatry | Rediscover | 8800 Blue Ridge Blvd, Kansas City, MO 64138-4000 |
| Jacqueline A Devaney | Chiropractic | 8108 E 91st St, Kansas City, MO 64138-4364 | |
| Mary K Schuele | Psychologist, Clinical | Bph LLC | 8745 James A Reed Rd, Raytown, MO 64138-4414 |
| City | RAYTOWN |
| Zip Code | 64138 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | RAYTOWN + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.