| Larissa Sorrells, | |
|
400 E 4th St, Beardstown, IL 62618-1307 | |
| (217) 248-5795 | |
| Not Available |
| Full Name | Larissa Sorrells |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 400 E 4th St, Beardstown, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427300870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070019416 (Illinois) | Primary |
| 225X00000X | Occupational Therapist | 056009166 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beardstown Therapy Clinic | 6507223989 | 3 |
| Provider Name | Beardstown Therapy Clinic |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1700596442 PECOS PAC ID: 6507223989 Enrollment ID: O20230530001670 |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa Sorrells, 21 North Dr, Beardstown, IL 62618-4400 Ph: (217) 248-5795 | Larissa Sorrells, 400 E 4th St, Beardstown, IL 62618-1307 Ph: (217) 248-5795 |
Mr. Keith David Schroeder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 E 4th St, Beardstown, IL 62618 Phone: 217-323-7006 | |
Addison Paige Lagemann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Walker Ave, Beardstown, IL 62618 Phone: 217-320-9939 | |
Caitlin Mahoney, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 E 4th St, Beardstown, IL 62618 Phone: 217-323-7006 |