Provider Demographics
NPI:1588110712
Name:BREUER, MEGGAN ELIZABETH (DPT)
Entity type:Individual
Prefix:
First Name:MEGGAN
Middle Name:ELIZABETH
Last Name:BREUER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MEGGAN
Other - Middle Name:ELIZABETH
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 OAKMONT LN STE 600C
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5548
Mailing Address - Country:US
Mailing Address - Phone:630-575-1982
Mailing Address - Fax:402-330-8616
Practice Address - Street 1:7818 DODGE ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114-3412
Practice Address - Country:US
Practice Address - Phone:402-493-6808
Practice Address - Fax:402-493-6979
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3617225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist