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NPI Code Detail

MEDICARE: SERC REHABILITATION PARTNERS LLC

MEDICARE: SERC REHABILITATION PARTNERS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1477991693
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERC REHABILITATION PARTNERS LLC
Provider Business Mailing Address
First Line : 6397 LEE HWY STE 300
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37421-2564
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 7932 N OAK TRFY STE 212
Second Line :
City : KANSAS CITY
State : MO
Zip : 64118-1424
Country : US
Telephone Number : 816-420-8251
Fax Number : 816-420-8207
Authorized Official
Title or Position : VP REVENUE CYCLE OPERATIONS
Name : KEVIN JOHANNESON
Credential :
Telephone Number : 423-238-7217
Provider Enumeration Date : 06/10/2013
Last Update Date : 07/21/2022

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Directions to “SERC REHABILITATION PARTNERS LLC ” Practice Location

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