Serc of Liberty, L.L.C.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SERC OF LIBERTY, L.L.C.

Doing business as

SERC of Liberty

Practice address

1512 NE 96TH St
Suite a
Liberty, MO 64068-1348

Phone

(816) 792-0775

Fax

(816) 792-0776

NPI assigned

May 15, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chad E Helmer, PTNPI 1073565149

Title

Owner, Manager, Physical Therapist

Phone

(816) 792-0775

Specialties & licenses 1

Addresses

Other names 1

• SERC of Liberty Doing business as

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.

• Chad E Helmer, PT

  • Physical Therapist
  • Liberty, MO
  • NPI 1073565149
  Authorized official Same address or phone

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972719177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 NE 96TH ST",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681348",
            "telephone_number": "816-792-0775",
            "fax_number": "816-792-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 NE 96TH ST",
            "address_2": "SUITE A",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681348",
            "telephone_number": "816-792-0775",
            "fax_number": "816-792-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERC OF LIBERTY, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELMER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, MANAGER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "816-792-0775",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERC of Liberty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mai Ester Sen Ling
• Blanca Rosa Senzee, COTA/L
• Alexia Sepulveda
• Serc Hand North Inc
• Serc of Liberty LLC
• Kasey Sewell
• Reema Ihsan Shaban
• Shavonne L. Danner, M.D., L.L.C.
• Kelsie Erin Shaw I
• Patrick R Shaw, PHARMD

• Customized Equipment (DME) in Liberty, MO
• Providers in Liberty, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.