Serc Rehabilitation Partners, LLC
NPI 1760745244ActiveOrganization· Physical Therapist· Belton, MO
Physical Therapist in Belton, Missouri, registered in NPPES in June 2012. The authorized official on file is Kevin Johanneson, Manager. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1760745244 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2012 |
| Last updated in NPPES | Dec 9, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Occupational Therapist, Ergonomics | 225XE1200X | — | — |
| Occupational Therapist, Hand | 225XH1200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (AR); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (KS); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (MO) |
|---|
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