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Serc Rehabilitation Partners LLC

Physical Therapy Clinic/Center in Grain Valley, MO · enumerated 2014 · authorized official Kevin Johanneson, Vp Revenue Cycle Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013311257

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Registry record

Entity type Organization (Type 2)
Legal business name Serc Rehabilitation Partners LLC
Other name <Unavail>
Practice address 103 Sw Eagles Pkwy, Grain Valley, MO, 64029
Phone (816) 443-2375
Fax (816) 443-2380
Enumeration date Oct 17, 2014
Last updated in NPPES Oct 17, 2014

Taxonomy & classification

261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kevin Johanneson
Title Vp Revenue Cycle Operations
Phone (423) 238-7217

Other identifiers

Identifier Type State Issuer
MA4370 Other MO MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-10-17. Verify at npiregistry.cms.hhs.gov.
Where is Serc Rehabilitation Partners LLC located?
The practice location on file with NPPES is in Grain Valley, MO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-17.