Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Serc Rehabilitation Partners LLC

Organization Physical Therapist · NPI 1356898886

Serc Rehabilitation Partners LLC is a Physical Therapist in Oak Grove, Missouri. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

509 S Broadway
Oak Grove, MO 64075-9627
Phone: (816) 625-4967
Fax: (816) 625-8376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1356898886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revenue Cycle Operations · (423) 238-7217
Other names Serc - Oak Grove, Mo; Serc - Oak Grove, Mo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESJuly 21, 2022
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564

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