Serc Rehabilitation Partners, LLC
Organization Active NPI Physical Therapy Clinic/Center · Kansas City, MO
NPI 1831453372 · NPPES record last updated Sep 4, 2013
Key facts
- NPI
- 1831453372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- SERC REHABILITATION PARTNERS, LLC
- Practice address
- 4240 Blue Ridge Blvd Ste 515
Kansas City, MO 64133-1713 - Phone
- (816) 353-0060
- Fax
- (816) 353-0070
- NPI assigned
- Jun 29, 2012
- Organization subpart
- No
Authorized official
- Name
- Kiley Russell
- Title
- Manager
- Phone
- (423) 238-8923
Other NPIs on the same Medicare enrollment 18
Practitioners 1
-
Trisha Lynn Krska, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130304000500 | MO | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 9830344563 |
Receives reassigned benefits from 207 practitioners 18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lake Ozark, MO; Lees Summit, MO; Mount Vernon, MO; Kansas City, MO; Oak Grove, MO; Odessa, MO; Platte City, MO; Pleasant Hill, MO… |
National Provider Directory
Locations
211 N 2nd St
Odessa, MO 64076
Phone (816) 230-3280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Yes | ||
| Occupational Medicine Clinic/Center | 261QX0100X |
Addresses
Primary practice location
4240 Blue Ridge Blvd Ste 515
Kansas City, MO 64133-1713
Mailing address
17134 Bel Ray PL
Belton, MO 64012-5331
Phone (816) 524-5130
Other names
- SERC
Other providers in Kansas City, MO
- Serc Rehabilitation Partners, LLC
- Serc Rehabilitation Partners, LLC
- Serc Rehabilitation Partners, LLC
- Serc Rehabilitation Partners, LLC
- Serc Rehabilitation Partners, LLC
- Serc Rehabilitation Partners, LLC
- Serenity Chiropractic, LLC
- Alexandria Nicole Serig
- Michelle Lynn Serra
- Jennifer Serrano
All providers in Kansas City, MO · Physical Therapy Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.