Spine & Extremity Rehabilitation Center of Raytown, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SPINE & EXTREMITY REHABILITATION CENTER OF RAYTOWN, INC.

Doing business as

SERC of Raytown, SERC of South Raytown, SERC of Belton

Practice address

10801 E State Route 350
Raytown, MO 64138-2367

Phone

(816) 737-5500

Fax

(816) 737-5504

NPI assigned

May 15, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diana E Naumann, PT

Title

Owner-Manager-Physical Therapist

Phone

(816) 737-5500

Specialties & licenses 1

Addresses

Other names 1

• SERC of Raytown, SERC of South Raytown, SERC of Belton Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063628352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641382367",
            "telephone_number": "816-737-5500",
            "fax_number": "816-737-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641382367",
            "telephone_number": "816-737-5500",
            "fax_number": "816-737-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & EXTREMITY REHABILITATION CENTER OF RAYTOWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAUMANN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER-MANAGER-PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-737-5500",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC of Raytown, SERC of South Raytown, SERC of Belton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary L. Smith, D.D.S.
• Lashae Smith, BSW MSW LMSW
• Caroline Song, MA, PLPC
• Jinming Song, MD
• Special People Requiring Unique Care Equally
• Spine and Extremity Rehabilitation Center of Raytown Inc
• Spiral Residential Home and Respite Care, LLC
• Caitlin Jeanette Sprott
• SRZ Op Autumn LLC
• Amanda Steely

• Customized Equipment (DME) in Raytown, MO
• Providers in Raytown, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.