SOUL PHYSICAL THERAPY LLC
NPI 1093118002
Clinic/Center - Physical Therapy in Beverly, MA
About Soul Physical Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUL PHYSICAL THERAPY LLC (NPI 1093118002) is a healthcare organization registered as a physical therapy in Beverly, Massachusetts and active in the NPI registry since October 2014. The organization lists Andrew Mcllarky, Owner / Pt, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soul Physical Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Soul Physical Therapy LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Soul Physical Therapy LLC's NPI number?
The NPI number for Soul Physical Therapy LLC is 1093118002. It was assigned to this organization in the NPPES registry on October 4, 2014.
Where is Soul Physical Therapy LLC located?
Soul Physical Therapy LLC is located at 7 Reservoir Rd, Beverly, MA 01915. The listed phone number is (978) 524-0333.
What is Soul Physical Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Soul Physical Therapy LLC enrolled in Medicare?
Yes. Soul Physical Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Soul Physical Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Soul Physical Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Soul Physical Therapy LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Soul Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Soul Physical Therapy LLC was last updated on January 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Soul Physical Therapy Llc · NPI 1093118002
Physical Therapy organization in Beverly, Massachusetts. Organization record, active in the CMS NPPES registry since October 4, 2014.
## Identity
- **NPI:** 1093118002 (Entity type: Organization)
- **Enumerated:** October 4, 2014
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Andrew Mcllarky, OWNER / PT
## Practice location
- **Address:** 7 RESERVOIR RD, Beverly, MA 01915-5501
- **Phone:** (978) 524-0333 · **Fax:** (978) 524-0334
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 28, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1093118002) · Data from the CMS NPPES public registry.