Serc Rehabilitation Partners LLC
Organization Active NPI Physical Therapy Clinic/Center · Saint Joseph, MO
NPI 1215355243 · NPPES record last updated Apr 7, 2014
Key facts
- NPI
- 1215355243
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- SERC REHABILITATION PARTNERS LLC
- Practice address
- 3727 Gene Field Rd
Saint Joseph, MO 64506-1806 - Phone
- (816) 396-8635
- Fax
- (816) 364-3522
- NPI assigned
- Apr 7, 2014
- Organization subpart
- No
Authorized official
- Name
- Kiley Russell
- Title
- MGR of Provider/Payer Enrollment
- Phone
- (423) 238-8923
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Serc Rebabilitation Partners LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
3727 Gene Field Rd
Saint Joseph, MO 64506-1806
Mailing address
17134 Bel Ray PL
Belton, MO 64012-5331
Phone (816) 226-4011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA4370 | Other | MO | GROUP MEDICARE PTAN |
Other names
- SERC - Saint Joseph
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All providers in Saint Joseph, MO · Physical Therapy Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.