NPIMap

Organization Active NPI

Spine & Extremity Rehabilitation Center of Kansas City North Inc

Doing business as SERC of Kansas City North; SERC of Metro North

  • Physical Therapist
  • Riverside, MO
National Provider Identifier
1962450569
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
103074 Issued in MO
Legal business name
SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC
Doing business as
SERC of Kansas City North; SERC of Metro North
Practice address
220 NW Platte Valley Dr
Riverside, MO 64150-9793
Phone
(816) 505-3422
Fax
(816) 505-3312
NPI assigned
May 5, 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
Robert A Mitchell, PTNPI 1801847124
Title
Clinic Director/Owner
Phone
(816) 505-3422

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 103074 MO Primary

Addresses

Primary practice location

220 NW Platte Valley Dr
Riverside, MO 64150-9793

Mailing address

220 NW Platte Valley Dr
Riverside, MO 64150-9793
Phone (816) 505-3422

Other names 1

  • SERC of Kansas City North; SERC of Metro North Doing business as

National Provider Directory

National Provider Directory

Locations

110 NW Parkway Dr
Bldg 6
Riverside, MO 64150
Phone (816) 420-0286

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1962450569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NW PLATTE VALLEY DR",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509793",
            "telephone_number": "816-505-3422",
            "fax_number": "816-505-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 NW PLATTE VALLEY DR",
            "city": "RIVERSIDE",
            "state": "MO",
            "postal_code": "641509793",
            "telephone_number": "816-505-3422",
            "fax_number": "816-505-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & EXTREMITY REHABILITATION CENTER OF KANSAS CITY NORTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC DIRECTOR/OWNER",
        "authorized_official_telephone_number": "816-505-3422",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "103074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC of Kansas City North; SERC of Metro North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, MO

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.