| Tyler Kent Stevenson, PT, DPT | |
|
103 Sw Eagles Pkwy, Grain Valley, MO 64029-8512 | |
| (816) 443-2375 | |
| (816) 443-2380 |
| Full Name | Tyler Kent Stevenson |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 103 Sw Eagles Pkwy, Grain Valley, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619663648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2023023129 (Missouri) | Primary |
| Provider Name | Serc Rehabilitation Partners Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1760745244 PECOS PAC ID: 9830344563 Enrollment ID: O20130304000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Kent Stevenson, PT, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 238-7217 | Tyler Kent Stevenson, PT, DPT 103 Sw Eagles Pkwy, Grain Valley, MO 64029-8512 Ph: (816) 443-2375 |
Stacee Newsom, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-726-7337 Fax: 816-847-0218 | |
Troy H Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 638 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-836-0800 Fax: 816-836-3229 | |
Alexa Gabrielle Hernandez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170 | |
Claire Sybesma, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170 | |
Kayla Kocimski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Sw Eagles Pkwy, Grain Valley, MO 64029 Phone: 816-265-1170 | |
Caitlin Robinson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 640 Nw Jefferson St, Grain Valley, MO 64029 Phone: 816-726-7337 | |
Thomas Hargrave, DPT, ATC, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1207 Nw Pamela Blvd, Grain Valley, MO 64029 Phone: 816-867-6022 |