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 1790190593

Serc Rehabilitation Partners LLC is a Physical Therapist in Lees Summit, Missouri. Registered with an NPI since 2014.

In the registry since
2014
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

827 NE Lakewood Blvd
Lees Summit, MO 64064-1366
Phone: (816) 533-6931
Fax: (816) 350-3925
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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 number1790190593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Johanneson — Vp Revene Cycle Operations · (423) 238-7217
Other names Serc - Lakewood Blvd
NPI enumeratedJuly 1, 2014
Last updated in NPPESJuly 21, 2022
Mailing address6397 Lee Hwy Ste 300, Chattanooga, TN 37421-2564

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