SERC - REPUBLIC
NPI 1356695035
Physical Therapist in Republic, MO

Active since November 02, 2012
578 E HARRISON ST, REPUBLIC, MO 65738(417) 763-6348(417) 763-6848 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jun 6, 2017 (2 updates tracked since 2017).

About Serc - Republic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SERC - REPUBLIC (NPI 1356695035) is a healthcare organization registered as a physical therapist in Republic, Missouri and active in the NPI registry since November 2012. The organization lists Kevin Johanneson, Vp Revenue Cycle Operations, as its authorized official.

NPPES Registry Identity

NPI1356695035
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameSERC REHABILITATION PARTNERS LLC
Location Address578 E HARRISON STRepublic, MO 65738-1353
Mailing Address6397 Lee Hwy Ste 300Chattanooga, TN 37421-2564 · (423) 238-7217 · Fax (423) 238-3473
Fax(417) 763-6848
Organization SubpartNo
Authorized OfficialKevin JohannesonVp Revenue Cycle Operations · (423) 238-7217
Enumeration DateNovember 2, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1356695035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
578 E HARRISON ST, Republic, MO 65738

Other Names 1

Other NameSerc - Republic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Serc - Republic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

194

Medicare enrollment records show 194 clinicians reassign Medicare billing to Serc - Republic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice182
Occupational Therapist in Private Practice12

Nearest to this location (20)

See all 194
Physical Therapist in Private Practice
NPI 1790509115
334 E MOUNT VERNON BLVD
Mount Vernon, MO 65712
(417) 461-0952
✔ Accepts Medicare26 mi
Physical Therapist in Private Practice
NPI 1821614082
180 MALL RD STE K
Hollister, MO 65672
(417) 263-3045
✔ Accepts Medicare37 mi
Physical Therapist in Private Practice
NPI 1407786726
180 MALL RD STE K
Hollister, MO 65672
(417) 263-3045
✔ Accepts Medicare37 mi
Physical Therapist in Private Practice
NPI 1598316580
128 W 10TH ST STE 5
Lamar, MO 64759
(417) 214-4711
✔ Accepts Medicare51 mi
Physical Therapist in Private Practice
NPI 1083140859
501 S MADISON ST STE L
Webb City, MO 64870
(417) 673-2156
✔ Accepts Medicare55 mi
Physical Therapist in Private Practice
NPI 1396233748
501 S MADISON ST
Webb City, MO 64870
(417) 673-2156
✔ Accepts Medicare55 mi
Physical Therapist in Private Practice
NPI 1821771130
1227 E 32ND ST STE 7
Joplin, MO 64804
(417) 624-7400
✔ Accepts Medicare58 mi
Physical Therapist in Private Practice
NPI 1366152266
1227 E 32ND ST STE 7
Joplin, MO 64804
(417) 624-7400
✔ Accepts Medicare58 mi
Physical Therapist in Private Practice
NPI 1437950565
1227 E 32ND ST STE 7
Joplin, MO 64804
(417) 624-7400
✔ Accepts Medicare58 mi
Physical Therapist in Private Practice
NPI 1588098941
206 S RONEY ST
Carl Junction, MO 64834
(417) 649-7026
✔ Accepts Medicare61 mi
Physical Therapist in Private Practice
NPI 1851383038
1416 HIGHWAY 62 65 N STE C
Harrison, AR 72601
(870) 416-3555
✔ Accepts Medicare62 mi
Physical Therapist in Private Practice
NPI 1053971838
1409 HIGHWAY 62 65 N STE 4
Harrison, AR 72601
(870) 704-4076
✔ Accepts Medicare62 mi
Physical Therapist in Private Practice
NPI 1750865044
2603 W PLEASANT GROVE RD
Rogers, AR 72758
(479) 636-1197
✔ Accepts Medicare69 mi
Physical Therapist in Private Practice
NPI 1861377764
1409 HIGHWAY 62 65 N STE 4
Harrison, AR 72601
(870) 704-1970
✔ Accepts Medicare81 mi
Physical Therapist in Private Practice
NPI 1750661617
1261 N STEAMBOAT DR
Fayetteville, AR 72704
(479) 313-7631
✔ Accepts Medicare83 mi
Physical Therapist in Private Practice
NPI 1770751695
109 W FRANKLIN ST
Clinton, MO 64735
(660) 383-1284
✔ Accepts Medicare88 mi
Physical Therapist in Private Practice
NPI 1033343033
109 W FRANKLIN ST
Clinton, MO 64735
(660) 383-1284
✔ Accepts Medicare88 mi
Physical Therapist in Private Practice
NPI 1003342049
115 W BROADWAY BLVD STE 300
Sedalia, MO 65301
(660) 827-2945
✔ Accepts Medicare110 mi
Physical Therapist in Private Practice
NPI 1669831905
115 W BROADWAY BLVD STE 300
Sedalia, MO 65301
(660) 827-2945
111 mi
Occupational Therapist in Private Practice
NPI 1124976527
2001 N STATE ROUTE 7 STE B
Pleasant Hill, MO 64080
(816) 987-7049
✔ Accepts Medicare119 mi
See all 194 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Serc Rehabilitation Partners LLC's NPI number?

The NPI number for Serc Rehabilitation Partners LLC is 1356695035. It was assigned to this organization in the NPPES registry on November 2, 2012. The provider is also known as Serc - Republic.

Where is Serc Rehabilitation Partners LLC located?

Serc Rehabilitation Partners LLC is located at 578 E Harrison St, Republic, MO 65738. The listed phone number is (417) 763-6348.

What is Serc Rehabilitation Partners LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Serc Rehabilitation Partners LLC enrolled in Medicare?

Yes. Serc Rehabilitation Partners LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Serc Rehabilitation Partners LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 194 clinicians in 2 Medicare specialties reassign their Medicare billing to Serc Rehabilitation Partners LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (182) and Occupational Therapist in Private Practice (12). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Serc Rehabilitation Partners LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.