Organization Active NPI

Serc of Lansing

  • Physical Therapist
  • Lansing, KS
National Provider Identifier
1952586430
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03375 Issued in KS
Legal business name
SERC OF LANSING
Practice address
1004 Progress Dr
Suite 100
Lansing, KS 66043-6326
Phone
(913) 351-3838
Fax
(913) 351-3939
NPI assigned
Jan 3, 2008
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Jason S Langford, MPT, ATCNPI 1316957145
Title
Clinic Manager
Phone
(913) 351-3838

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
Physical Therapist 225100000X 11-03375 KS Primary

Addresses

Primary practice location

1004 Progress Dr
Suite 100
Lansing, KS 66043-6326

Mailing address

1004 Progress Dr
Suite 100
Lansing, KS 66043-6326
Phone (913) 351-3838

Other identifiers 1

IdentifierTypeStateIssuer
39845014OtherKSBCBS

National Provider Directory

National Provider Directory

Locations

1004 Progress Dr
Ste 100
Lansing, KS 66043
Phone (913) 351-3586

Practitioners & affiliated clinicians

Practitioners 1

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": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1952586430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 PROGRESS DR",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660436326",
            "telephone_number": "913-351-3838",
            "fax_number": "913-351-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PROGRESS DR",
            "address_2": "SUITE 100",
            "city": "LANSING",
            "state": "KS",
            "postal_code": "660436326",
            "telephone_number": "913-351-3838",
            "fax_number": "913-351-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF LANSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "913-351-3838",
        "authorized_official_credential": "MPT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "39845014",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.