Serc of Lee'S Summit

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2001014048 Issued in MO

Legal business name

SERC OF LEE'S SUMMIT

Practice address

3747 SW Raintree Dr
Lees Summit, MO 64082-4606

Phone

(816) 537-5650

Fax

(816) 537-5649

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Mark A Wernsman, MPT

Title

Clinic Director

Phone

(816) 537-5650

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Bret Waltz, DPT

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1003859125
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1093763658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 SW RAINTREE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824606",
            "telephone_number": "816-537-5650",
            "fax_number": "816-537-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 SW RAINTREE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824606",
            "telephone_number": "816-537-5650",
            "fax_number": "816-537-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF LEE'S SUMMIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "WERNSMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "816-537-5650",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2001014048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35689021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hillary Sellers, CCC, SLP
• Maddison Pearl Selley, FNP-C
• Amanda Sells, D.O.
• Megan Sengbush
• Senior Health Associates, LLC
• Serc of Lee'S Summit
• Serc Rehabilitation Partners LLC
• Serc Rehabilitation Partners LLC
• Serc Rehabilitation Partners, LLC
• Serc Rehabilitation Partners, LLC

• Physical Therapist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.