Larissa Sorrells

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070019416 Issued in IL

Practice address

400 E 4TH St
Beardstown, IL 62618-1307

Phone

(217) 248-5795

NPI assigned

Oct 10, 2012

Last updated

Feb 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beardstown Therapy ClinicGroup PAC ID 6507223989, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beardstown Therapy Clinic

  • Physical Therapist
  • Beardstown, IL
  • NPI 1700596442
  Medicare reassignment Care Compare group NPD Authorized official
• Passavant Memorial Area Hospital Association

  dba Passavant Professional Services

  • Internal Medicine Physician
  • Jacksonville, IL
  • NPI 1760994040
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1427300870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 NORTH DR",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626184400",
            "telephone_number": "217-248-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 4TH ST",
            "city": "BEARDSTOWN",
            "state": "IL",
            "postal_code": "626181307",
            "telephone_number": "217-248-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELLS",
        "first_name": "LARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019416",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura L Sirtout, SLP
• Lindsay K Sloan
• Jenniffer Dannelle Smith, BSW
• Mary E. Smith, RN
• Michael Lee Smith, BA,JD
• Megan Marie Stocker, BA
• Danielle Renee Suhre
• April Summers
• Susan Burge DO SC
• Megan Renae Swan, BS, QIDP

• Physical Therapist in Beardstown, IL
• Providers in Beardstown, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.