Serc Rehabilitation Partners LLC
Organization Active NPI Physical Therapist · Oak Grove, MO
NPI 1356898886 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1356898886
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- SERC REHABILITATION PARTNERS LLC
- Practice address
- 509 S Broadway
Oak Grove, MO 64075-9627 - Phone
- (816) 625-4967
- Fax
- (816) 625-8376
- NPI assigned
- Sep 1, 2016
- Organization subpart
- No
Authorized official
- Name
- Kevin Johanneson
- Title
- VP Revenue Cycle Operations
- Phone
- (423) 238-7217
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Serc Rebabilitation Partners LLC
Locations
509 S Broadway
Oak Grove, MO 64075
Phone (816) 625-4967
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
509 S Broadway
Oak Grove, MO 64075-9627
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-7217
Other names
- SERC - Oak Grove, MO
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.