Individual provider Active NPI

Sean Eric Surber, DPT

  • Physical Therapist
  • Odessa, MO
National Provider Identifier
1902423700
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213736 Issued in VA
Practice address
211 N 2ND St
Odessa, MO 64076-1135
Phone
(816) 633-4063
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305213736 VA Primary
Physical Therapist 225100000X CP052767T MO
Physical Therapist 225100000X 30225 MD

Addresses

Primary practice location

211 N 2ND St
Odessa, MO 64076-1135

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

6160 Kempsville Cir Ste 200B
Norfolk, VA 23502-3945
Phone (757) 321-3300

Other practice location 2

5818 D Harbour View Blvd.
suite 150
suffolk, VA 23435
Phone (757) 215-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200818000578 VA Practitioner - Physical Therapist in Private Practice 6103242409 Reassigns benefits to 1 organization
I20260203000997 MO Practitioner - Physical Therapist in Private Practice 6103242409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serc Rebabilitation Partners, LLCGroup PAC ID 9830344563, 212 clinicians

Practice addresses (Care Compare)

211 N 2ND St
Serc Odessa
Odessa, MO 64076-1135
Phone (816) 633-4063

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
87.23
Promoting interoperability
100
Improvement activities
40
Cost
87.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30225MDMDClinical Social Worker
CP052767TMOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Vann-Virginia Center for Orthopaedics PC CurrentSince Jun 12, 2023 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Jan 27, 2026 Accepting new patients
Vann-Virginia Center for Orthopaedics PC Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051

109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280

211 N 2nd St
Odessa, MO 64076
Phone (816) 230-3280

6160 Kempsville Cir
Ste 200B
Norfolk, VA 23502
Phone (757) 321-3383

230 Clearfield Ave
Ste 124
Virginia Beach, VA 23462
Phone (757) 321-3383

1975 Glenn Mitchell Dr
Ste 200
Virginia Beach, VA 23456
Phone (757) 321-3383

1800 Camelot Dr
Ste 300
Virginia Beach, VA 23454
Phone (757) 321-3383

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1902423700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 2ND ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761135",
            "telephone_number": "816-633-4063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6160 Kempsville Cir Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023945",
            "country_code": "US",
            "telephone_number": "757-321-3300",
            "fax_number": "757-321-3332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5818 D Harbour View Blvd.",
            "address_2": "suite 150",
            "address_purpose": "LOCATION",
            "city": "suffolk",
            "state": "VA",
            "postal_code": "23435",
            "country_code": "US",
            "telephone_number": "757-215-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SURBER",
        "first_name": "SEAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213736",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "CP052767T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "30225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.