SOUL PHYSICAL THERAPY LLC (NPI# 1093118002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093118002 |
| Entity Type | Organization |
| Organization Name | SOUL PHYSICAL THERAPY LLC |
| Practice Address |
7 Reservoir Rd Beverly MA 01915-5501 |
| Practice Telephone | 9785240333 |
| Practice Fax Number | 9785240334 |
| Mailing Telephone | 9785240333 |
| Mailing Fax Number | 9785240334 |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | ANDREW MCLLARKY (OWNER / PT) |
| Authorized Official Telephone | 8609175594 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
01852 | MA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUL PHYSICAL THERAPY LLC | 7 Reservoir Rd., Beverly, MA 01915 |
| Street Address |
7 RESERVOIR RD |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597123 | Jennifer Hahne | Physical Medicine & Rehabilitation | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2020-10-27 |
| 1558917062 | Liv Rachelle Gold | Physical Therapist | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2019-08-12 |
| 1952882623 | Donald Marquis | Physical Therapist | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2018-08-22 |
| 1275040586 | Jenna Antonette Mattera | Physical Therapist | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2018-01-08 |
| 1679091821 | Matthew Bevilacqua | Physical Therapist | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2017-09-07 |
| 1144695214 | Daniel Purcell | Physical Therapist | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2015-12-01 |
| 1164855771 | Caitlin Elizabeth Crane | Dietitian, Registered | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2013-08-19 |
| 1285079814 | Jillian Broderick | Physical Therapy Assistant | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2013-05-09 |
| 1942557087 | Kara Jesi | Physical Therapist | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2012-08-08 |
| 1013209204 | Nourish Rx, LLC | Dietitian, Registered | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2011-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558617613 | Stephen Evitts | Clinic/Center | 25 Kernwood Ave, Beverly, MA 01915-4034 | 2012-07-26 |
| 1952811101 | Allen Physical Therapy | Clinic/Center | 9 Dane St Ste D, Beverly, MA 01915-4514 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518448 | Shira Lauren Dragun | Clinic/Center | 63 1/2 Jefferson Ave, Salem, MA 01970-2975 | 2020-11-03 |
| 1518564566 | Ann Pappas Physical Therapy | Clinic/Center | 470 Washington St Ste 31, Norwood, MA 02062-2343 | 2020-10-02 |
| 1538786272 | Neurologic Optimal Wellness Physical Therapy LLC | Clinic/Center | 180 King St, Springfield, MA 01109-4316 | 2020-06-29 |
| 1689297525 | Full Spectrum Physical Therapy and Performance, LLC | Clinic/Center | 17 Cannongate Rd Apt 83, Tyngsboro, MA 01879-1413 | 2020-05-27 |
| 1992328421 | Adam Auto Accident Physio Doctor,inc | Clinic/Center | 1011 Beacon St Ste 1, Brookline, MA 02446-5696 | 2020-05-19 |
| 1952938839 | Jessica Moy Wellness LLC | Clinic/Center | 255 Massachusetts Ave Apt 204, Boston, MA 02115-3511 | 2020-03-23 |
| 1598390940 | The Method Performance and Physical Therapy LLC | Clinic/Center | 378 North St Apt 2, Boston, MA 02113-2143 | 2020-03-05 |
| 1104458785 | Olender Physical Therapy, LLC | Clinic/Center | 316 Washington St Ste 1, Wellesley, MA 02481-4959 | 2020-02-11 |
| 1851930028 | Core Physical Therapy & Performance, LLC | Clinic/Center | 11 Randolph Rd, Randolph, MA 02368-4321 | 2020-01-05 |
| 1316585482 | Healthworks Med Group of Massachusetts P C | Clinic/Center | 157 Berkeley St, Boston, MA 02116-5108 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUL PHYSICAL THERAPY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.