Individual provider · Type 1 NPI

Konrad Wiese, PTA

Physical Therapy Assistant · Valparaiso, IN

NPI number 1376412734 Active

Practice location

3538 Calumet Ave
Valparaiso, IN 46383-2246

Call (219) 316-7470 Map

Fax (219) 386-2505

Mailing address

23 Paisley Grn
Valparaiso, IN 46385-9277

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X06007026A (IN)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

5 other providers at this address

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About NPI 1376412734

Konrad Wiese, PTA's National Provider Identifier is 1376412734, issued on Nov 3, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Valparaiso, IN. The record was last updated on Nov 3, 2025.