BEARDSTOWN THERAPY CLINIC – Physical Therapist, NPI 1700596442

BEARDSTOWN THERAPY CLINIC is a healthcare provider. based in Beardstown, Illinois. specializing in Physical Therapist. The NPI Number for BEARDSTOWN THERAPY CLINIC is 1700596442

Main info

Organization
Name
BEARDSTOWN THERAPY CLINIC
NPI
1700596442
Phone
(217) 248-5795
Address
21 NORTH DR
Authorized Official
LARISSA SORRELLS OWNER PT, DPT, ATC
Enumeration Date
5 December 2022
Last Update Date
5 December 2022

Contacts

Main Contact
webpt.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:3State licenses:0Other namesUpdated within 12 months

Provider Addresses for BEARDSTOWN THERAPY CLINIC

  • 21 NORTH DR

    BEARDSTOWN, IL 626184400

    Phone: (217) 248-5795

    Type: Mailing

  • 400 E 4TH ST

    BEARDSTOWN, IL 626181307

    Phone: (217) 248-5795

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20230530001670OPhysical/Occupational Therapy Group In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62618)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for BEARDSTOWN THERAPY CLINIC?
BEARDSTOWN THERAPY CLINIC — NPI 1700596442 — is the standard way to identify this listing.
Can I rely on BEARDSTOWN THERAPY CLINIC being an active provider?
As of the registry snapshot, BEARDSTOWN THERAPY CLINIC is marked active.
What healthcare role does BEARDSTOWN THERAPY CLINIC hold?
Scheduling teams often label BEARDSTOWN THERAPY CLINIC under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect BEARDSTOWN THERAPY CLINIC on a map?
Expect Beardstown, Illinois as a primary anchor for BEARDSTOWN THERAPY CLINIC unless the record lists multiple sites.
Is the information about BEARDSTOWN THERAPY CLINIC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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