Serc Rehabilitation Partners LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SERC REHABILITATION PARTNERS LLC

Practice address

225 N Moonlight Rd
Gardner, KS 66030-1928

Phone

(913) 856-7927

Fax

(913) 856-8442

NPI assigned

Dec 1, 2014

Organization subpart

No

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

Authorized official

Name

Kevin Johanneson

Title

VP Revenue Cycle Operations

Phone

(423) 238-7217

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SERC - Gardner Other name

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770980146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MOONLIGHT RD",
            "city": "GARDNER",
            "state": "KS",
            "postal_code": "660301928",
            "telephone_number": "913-856-7927",
            "fax_number": "913-856-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC REHABILITATION PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHANNESON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE OPERATIONS",
        "authorized_official_telephone_number": "423-238-7217"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "KA2868",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC - Gardner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SERC - Gardner",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Geoffrey Santangelo
• Schneller Enterprises Inc.
• Christie M. Schroeder, RPH
• Kerry J Schuetz, PTA
• Jennifer K Secor, LPC
• Serc Rehabilitation Partners LLC
• John L Sherard, MD
• Robert Michael Shively, MD
• Erin R Showalter, LPC
• Mandi Shrock, LPC, NCC

• Physical Therapist in Gardner, KS
• Providers in Gardner, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.