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

Mr. William G Peroutka Jr., MPT, ATC

Individual provider Physical Therapist · NPI 1467565929

Mr. William G Peroutka Jr., MPT, ATC is a Physical Therapist in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

939 Highway K
O Fallon, MO 63366-2910
Phone: (636) 240-7000
Fax: (636) 240-7513
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2001007779 (MO)
Athletic Trainer Taxonomy 2255A2300X · Licence 2001014038 (MO)

Record details

NPI number1467565929
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , ATC
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESJanuary 17, 2008

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