Serc of Clinton Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

105255 Issued in MO

Legal business name

SERC OF CLINTON INC

Practice address

109 W Franklin St
Clinton, MO 64735-2007

Phone

(816) 524-5287

Fax

(816) 434-6632

NPI assigned

May 26, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kevin L McWilliams, PT

Title

President/Clinical Director

Phone

(816) 524-5287

Specialties & licenses 2

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.

• Sherry Ann Purvis, PT, BSPT

  • Physical Therapist
  • Lees Summit, MO
  • NPI 1972552974
  NPD (past)

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1295054518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W FRANKLIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352007",
            "telephone_number": "816-524-5287",
            "fax_number": "816-434-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W FRANKLIN ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352007",
            "telephone_number": "816-524-5287",
            "fax_number": "816-434-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF CLINTON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "MCWILLIAMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "816-524-5287",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "105255",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "MO",
            "license": "003718",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "44281011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth F Scott Jr., M.D.
• Mikalah Scott, RBT
• Sydnie Scurlock, OTR/L
• Daniel Searing, CRNA
• Colton J Seely, PHARMD
• Serc Rehabilitation Partners, LLC
• Robert J Sexauer, D.D.S.
• Erika Seymour, BT
• Share and Care for Special People, Inc
• Share and Care for Special People, Inc.

• Physical Therapist in Clinton, MO
• Providers in Clinton, 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.