Active NPI
Serc of Kearney Inc
- Physical Therapist
- Kearney, MO
National Provider Identifier
1336198522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2002030223
- Legal business name
- SERC OF KEARNEY INC
- Practice address
- 101 W 92 Hwy
Suite H
Kearney, MO 64060-7590 - Phone
- (816) 903-0775
- Fax
- (816) 903-0776
- NPI assigned
- May 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandi L Jackson, PT
- Title
- Clinic Director
- Phone
- (816) 903-0775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2002030223 | MO | Primary |
Addresses
Primary practice location
101 W 92 Hwy
Suite H
Kearney, MO 64060-7590
Mailing address
101 W 92 Hwy
Suite H
Kearney, MO 64060-7590
Phone (816) 903-0775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37002019 | Other | MO | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Liberty, MO
- NPI 1073565149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1336198522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W 92 HWY",
"address_2": "SUITE H",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640607590",
"telephone_number": "816-903-0775",
"fax_number": "816-903-0776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W 92 HWY",
"address_2": "SUITE H",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640607590",
"telephone_number": "816-903-0775",
"fax_number": "816-903-0776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERC OF KEARNEY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-08",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "BRANDI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CLINIC DIRECTOR",
"authorized_official_telephone_number": "816-903-0775",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MO",
"license": "2002030223",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "37002019",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, MO
- Nicholas Schuier, D.D.S
- Christopher T Scott, PT
- Jacob Benjamin Seevers, DO
- Select Physical Therapy Holdings, Inc.
- Tawn Andrea Sempek, MSN, FNP-C
- Serc of Kearney, Inc.
- Serc Rebabilitation Partners, LLC
- Serc Rehabilitation Partners LLC
- Serc Rehabilitation Partners, LLC
- Shoal Creek Family Medicine and Allergy, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.