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

Mr. Wayne E Petereit, LPT

Individual provider Physical Therapist · NPI 1376753335

Mr. Wayne E Petereit, LPT is a Physical Therapist in Jacksonville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1201 S Main St
Jacksonville, IL 62650-3339
Phone: (217) 479-2300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-004624 (IL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1376753335
Entity typeIndividual (Type 1)
GenderMale
Credentials LPT
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESFebruary 9, 2016
Mailing address2127 Innerbelt Business Center Dr, Suite 107, Saint Louis, MO 63114-5700

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