Individual provider Active NPI

Deborah K Moore-Rainey, PT

  • Physical Therapist
  • Mission, KS
National Provider Identifier
1942200654
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-01731 Issued in KS
Practice address
6640 Johnson Dr
Mission, KS 66202-2617
Phone
(913) 384-5600
Fax
(913) 384-0719
NPI assigned
Jul 22, 2005
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-01731 KS Primary
Physical Therapist 225100000X 2002021829 MO

Addresses

Primary practice location

6640 Johnson Dr
Mission, KS 66202-2617

Mailing address

17134 Bel Ray PL
Belton, MO 64012-5331
Phone (816) 226-4011

Other names 1

  • Deborah K Moore Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060110000484 KS Practitioner - Physical Therapist in Private Practice 8224082177 Reassigns benefits to 1 organization
I20060110000833 MO Practitioner - Physical Therapist in Private Practice 8224082177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
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)

6640 Johnson Dr
Serc Mission
Mission, KS 66202-2617
Phone (913) 384-5810

7932 N Oak Trfy
212 Serc Metro North
Kansas City, MO 64118-1424
Phone (816) 420-8251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-01731KSMDPhysical Therapist
2002021829MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serc Rebabilitation Partners, LLC Physical Therapist CurrentSince Dec 3, 2012 Accepting new patients
Serc Rehabilitation Partners, LLC Physical Therapist CurrentSince Jan 23, 2013 Accepting new patients
Serc Rehabilitation Partners, LLC CurrentSince Dec 3, 2012 Accepting new patients
Health Adminisource, LLC Physical Therapist PastSince Jan 1, 2005 Accepting new patients

Locations

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

13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362

5799 Broadmoor St
Ste 300
Mission, KS 66202
Phone (913) 384-5600

6640 Johnson Dr
Mission, KS 66202
Phone (913) 384-5600

17134 Bel Ray Pl
Belton, MO 64012
Phone (816) 226-4011

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

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

7932 N Oak Trfy
Ste 212
Kansas City, MO 64118
Phone (816) 420-0286

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8930

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1942200654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17134 BEL RAY PL",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640125331",
            "telephone_number": "816-226-4011",
            "fax_number": "816-524-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022617",
            "telephone_number": "913-384-5600",
            "fax_number": "913-384-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-RAINEY",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-01731",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2002021829",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "MOORE",
            "middle_name": "K",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.