# SERC REHABILITATION PARTNERS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** SERC - Douglas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932576758
- **Authorized official:** KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
- **Authorized official phone:** (423) 238-7217

## Contact information

- **Practice address:** 1741 NE DOUGLAS ST, STE 202, LEES SUMMIT, MO 64086-4703
- **Practice address phone:** (816) 246-2672
- **Practice address fax:** (816) 246-2676
- **Mailing address:** 8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
- **Mailing address phone:** (423) 238-7217
- **Mailing address fax:** (423) 238-3473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/27/2015
- **Last updated:** 08/27/2015