Serc of Kearney, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SERC OF KEARNEY, INC.

Doing business as

SERC of Kearney

Practice address

105 S Jefferson St
Suite B5
Kearney, MO 64060-8503

Phone

(816) 903-0775

Fax

(815) 903-0776

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandi L Jackson, MPT

Title

Owner, Manager, Physical Therapist

Phone

(816) 903-0775

Specialties & licenses 1

Addresses

Other names 1

• SERC of Kearney Doing business as

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841407178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S JEFFERSON ST",
            "address_2": "SUITE B5",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608503",
            "telephone_number": "816-903-0775",
            "fax_number": "815-903-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S JEFFERSON ST",
            "address_2": "SUITE B5",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608503",
            "telephone_number": "816-903-0775",
            "fax_number": "815-903-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF KEARNEY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, MANAGER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-903-0775",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC of Kearney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 (Serc)
• Shoal Creek Family Medicine and Allergy, PC
• Kim Siegel, CCC-SLP

• Customized Equipment (DME) in Kearney, MO
• Providers in Kearney, MO by specialty
• Customized Equipment (DME) in Missouri

• 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.