Tracy J Sorrell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

11210 95TH St
Coal Valley, IL 61240-9360

Phone

(309) 799-3161

NPI assigned

Dec 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197158400000",
    "number": "1528241908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 320TH ST",
            "city": "SHERRARD",
            "state": "IL",
            "postal_code": "612818503",
            "telephone_number": "309-593-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11210 95TH ST",
            "city": "COAL VALLEY",
            "state": "IL",
            "postal_code": "612409360",
            "telephone_number": "309-799-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "TRACY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-09",
        "last_updated": "2007-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• QC Psych Testing, PLLC
• Lorri Ann Rolfs, CAREGIVER
• Cynthia Rowley-Sullivan, PA
• Rural Therapy Solutions PLLC
• Naomi Sanderson, LMSW
• Rhonda Jo Sowards, MD
• Kathy Stegle, PT
• The Robert Young Center for Community Mental Health
• Paul Wang, MD
• Beth Ann Weiss

• Physical Therapy Assistant in Coal Valley, IL
• Providers in Coal Valley, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.