Serc of Lee's Summit

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SERC OF LEE'S SUMMIT

Practice address

3500 SW Market St
Lees Summit, MO 64082-2327

Phone

(816) 537-5650

Fax

(816) 537-5649

NPI assigned

May 17, 2007

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, MPTNPI 1386681591

Title

Owner, Manager, Physical Therapist

Phone

(816) 537-5650

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Anthony Wernsman, PT, DPT

  • Physical Therapist
  • Lee's Summit, MO
  • NPI 1386681591
  Authorized official Same address or phone
• 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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306053632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640822327",
            "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": "3500 SW MARKET ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640822327",
            "telephone_number": "816-537-5650",
            "fax_number": "816-537-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF LEE'S SUMMIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERNSMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER, MANAGER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-537-5650",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 - Douglas)
• Serc Rehabilitation Partners, LLC
• Serc Rehabilitation Partners, LLC (Serc)
• Inessa Izyevna Sergeyeva, FNP-BC

• Customized Equipment (DME) in Lee's Summit, MO
• Providers in Lee's Summit, 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.