Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Breault Physical Therapy PC

Organization Physical Therapist · NPI 1437266327

Breault Physical Therapy PC is a Physical Therapist in Loves Park, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1820 Windsor Rd Ste B
Loves Park, IL 61111-4271
Phone: (815) 986-4411
Fax: (815) 986-4414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1437266327
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Ann Breault — President · (815) 986-4411
NPI enumeratedAugust 24, 2006
Last updated in NPPESSeptember 11, 2007
Mailing address1820 Windsor Rd, Suite B, Loves Park, IL 61111-4271

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