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Beardstown Therapy Clinic

NPI 1700596442ActiveOrganization· Physical Therapist· Beardstown, IL

Physical Therapist in Beardstown, Illinois, registered in NPPES in December 2022. The authorized official on file is Larissa Sorrells, PT, DPT, ATC, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1700596442
StatusActive
Entity typeOrganization
NPI issuedDec 5, 2022
Last updated in NPPESDec 5, 2022
Certified by providerDec 4, 2022

Specialties and licenses

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Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

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Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IL)

Medicare sources and data years

Other physical therapists in Beardstown

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