SERC - INDEPENDENCE SQUARE
NPI 1457734717
Clinic/Center - Physical Therapy in Independence, MO

NPI Status: Active since July 06, 2015

Contact Information

108 W MAPLE AVE
INDEPENDENCE, MO
ZIP 64050
Phone: (816) 254-4548
Fax: (816) 254-4605

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  • Organization
  • Clinic/Center
  • Physical Therapy

About SERC - INDEPENDENCE SQUARE

This page provides the complete NPI Profile along with additional information for Serc - Independence Square, a provider established in Independence, Missouri operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1457734717 assigned on July 2015. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Serc - Independence Square. The authorized official of this NPI record is Kevin Johanneson (Vp Revenue Cycle Operations)

NPI
1457734717
Provider Legal Name
SERC REHABILITATION PARTNERS LLC
Other Organization Name
SERC - INDEPENDENCE SQUARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
108 W MAPLE AVE INDEPENDENCE, MO 64050
Location Phone
(816) 254-4548
Location Fax
(816) 254-4605
Mailing Address
8823 PRODUCTION LN OOLTEWAH, TN 37363
Mailing Phone
(423) 238-7217
Mailing Fax
(816) 254-4605
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2015
Last Update Date
07-06-2015
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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.

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

KEVIN JOHANNESON

Authorized Official Title
VP REVENUE CYCLE OPERATIONS
Authorized Official Phone
(423) 238-7217

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1457734717, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 0 + 7 + 1 + 4 + 3 + 8 + 7 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1457734717.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physical Therapy Assistant
108 W MAPLE AVE
INDEPENDENCE, MO 64050
Physical Therapist
108 W MAPLE AVE
INDEPENDENCE, MO 64050
Physical Therapist
108 W MAPLE AVE
INDEPENDENCE, MO 64050
Physical Therapy Assistant
108 W MAPLE AVE
INDEPENDENCE, MO 64050
Physical Therapist
108 W MAPLE AVE
INDEPENDENCE, MO 64050
Physical Therapist
108 W MAPLE AVE
INDEPENDENCE, MO 64050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457734717, enumerated as an "organization" on July 06, 2015.

The provider is located at 108 W MAPLE AVE INDEPENDENCE, MO 64050 and the phone number is (816) 254-4548.

Clinic/Center with taxonomy code 261QP2000X and a focus in Physical Therapy.