Organization Active NPI

Serc Hand Rehabilitation South LLC

  • Hand Occupational Therapist
  • Overland Park, KS
National Provider Identifier
1912956079
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
17-00153 Issued in KS
Legal business name
SERC HAND REHABILITATION SOUTH LLC
Practice address
7211 W 110TH St
Overland Park, KS 66210-2339
Phone
(913) 451-7372
Fax
(913) 451-7375
NPI assigned
May 8, 2006
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Laurie A Reed, OTR/L, CHTNPI 1255370532
Title
Clinic Director
Phone
(913) 451-7372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XH1200X 17-00153 KS Primary

Addresses

Primary practice location

7211 W 110TH St
Overland Park, KS 66210-2339

Mailing address

7211 W 110TH St
Overland Park, KS 66210-2339
Phone (913) 451-7372

Other identifiers 1

IdentifierTypeStateIssuer
34418024OtherKSBCBS

National Provider Directory

National Provider Directory

Locations

6600 College Blvd
Ste 205
Overland Park, KS 66211
Phone (913) 424-8772

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1912956079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102339",
            "telephone_number": "913-451-7372",
            "fax_number": "913-451-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W 110TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662102339",
            "telephone_number": "913-451-7372",
            "fax_number": "913-451-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC HAND REHABILITATION SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "913-451-7372",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "KS",
            "license": "17-00153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "34418024",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.