SERC
NPI 1396009833
Clinic/Center - Physical Therapy in Odessa, MO

NPI Status: Active since June 29, 2012

Contact Information

211 N 2ND ST
ODESSA, MO
ZIP 64076
Phone: (816) 230-3280
Fax: (816) 230-3230

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  • Organization
  • Clinic/Center
  • Physical Therapy

About SERC

This page provides the complete NPI Profile along with additional information for Serc, a provider established in Odessa, Missouri operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1396009833 assigned on June 2012. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Serc. The authorized official of this NPI record is Kiley Russell (Manager)

NPI
1396009833
Provider Legal Name
SERC REHABILITATION PARTNERS, LLC
Other Organization Name
SERC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
211 N 2ND ST ODESSA, MO 64076
Location Phone
(816) 230-3280
Location Fax
(816) 230-3230
Mailing Address
17134 BEL RAY PL BELTON, MO 64012
Mailing Phone
(816) 524-5130
Mailing Fax
(816) 230-3230
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-29-2012
Last Update Date
09-04-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Physical Therapy

Taxonomy Code
261QP2000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 
2261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KILEY RUSSELL

Authorized Official Title
MANAGER
Authorized Official Phone
(423) 238-8923

Reviews for SERC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396009833
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186001886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 0 + 0 + 1 + 8 + 8 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1396009833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699001164SERC OF ODESSA INC
Organization
Physical Therapist (Hand)211 N 2ND ST
ODESSA, MO 64076
(816) 633-4063
1578882080 ERIN ELIZABETH BEERMAN PTA
Individual
Physical Therapy Assistant211 N 2ND ST
ODESSA, MO 64076
(816) 633-4063
1033137856 JUNIOR SCOTT MUNSTERMAN PT, MPT
Individual
Physical Therapist211 N 2ND ST
ODESSA, MO 64076
(816) 230-3280
1508529256 CAROLINE RACQUEL WILLIAMS PT, DPT
Individual
Physical Therapist211 N 2ND ST
ODESSA, MO 64076
(816) 633-4063
1104855683 MICHAEL SCOTT BLUBAUGH MSPT,LMT
Individual
Physical Therapist211 N 2ND ST
ODESSA, MO 64076
(816) 633-4063
1801504030 TYLER COSNER PT, DPT
Individual
Physical Therapist211 N 2ND ST
ODESSA, MO 64076
(816) 633-4063
1588289797 MACKENZIE LAYNE GREIS PT, DPT
Individual
Physical Therapist211 N 2ND ST
ODESSA, MO 64076
(816) 633-4063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396009833, enumerated in the NPI registry as an "organization" on June 29, 2012

The provider is located at 211 N 2nd St Odessa, Mo 64076 and the phone number is (816) 230-3280

This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy

This NPI record was last updated on June 29, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.