Serc of Johnson County, L.L.C.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SERC OF JOHNSON COUNTY, L.L.C.

Practice address

13095 S Mur Len Rd
Suite 170
Olathe, KS 66062-1230

Phone

(913) 782-7733

Fax

(913) 782-7209

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Robyn S Stone, PT

Title

Owner, Manager, Physical Therapist

Phone

(913) 782-7734

Specialties & licenses 1

Addresses

Other names 1

• SERC of Olathe, SERC of Shawnee Doing business as

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801002035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13095 S MUR LEN RD",
            "address_2": "SUITE 170",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621230",
            "telephone_number": "913-782-7733",
            "fax_number": "913-782-7209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13095 S MUR LEN RD",
            "address_2": "SUITE 170",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621230",
            "telephone_number": "913-782-7733",
            "fax_number": "913-782-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF JOHNSON COUNTY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, MANAGER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "913-782-7734",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC of Olathe, SERC of Shawnee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Olathe, KS
• Providers in Olathe, KS by specialty
• Customized Equipment (DME) in Kansas

• 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.