Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK PEQUETTE, PT
ActiveDEREK PEQUETTE, PT is a Physical Therapy Assistant healthcare provider located in BOURBONNAIS, Illinois. NPI 1568561074 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1568561074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.867695204538 yrs)
- Last Updated
- Apr 22, 2025
- Licenses
-
05006860A (IN)070012002 (IL)
Practice Information
- Address
-
1275 N CONVENT STSUITE 3BOURBONNAIS, IL, 609148210Browse IL providers · Browse ZIP 60914
- Phone
- 8159361855
- Fax
- 8159366097
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in BOURBONNAIS, IL
| Name | Credential | NPI |
|---|---|---|
| KATHRYN BOZINOVICH | PT | 1629056825 |
| JOSELITO V SAYSON | PT | 1740224070 |
| JEFFREY BOHAC | PT | 1841221314 |
| ELIZABETH ELKINS | PT, DPT | 1508897943 |
| MRS. CARLA SCHIMMELPFENNIG | P.T. | 1972527851 |
| SHEFALI PATEL | MPT | 1578576518 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.