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

Konrad Wiese, PTA

Individual provider Physical Therapy Assistant · NPI 1376412734

Konrad Wiese, PTA is a Physical Therapy Assistant in Valparaiso, Indiana. Licensed in Indiana. Registered with an NPI since 2025.

Licensed in
IN
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

3538 Calumet Ave
Valparaiso, IN 46383-2246
Phone: (219) 316-7470
Fax: (219) 386-2505
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 06007026A (IN)

Record details

NPI number1376412734
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 3, 2025
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025
Mailing address23 Paisley Grn, Valparaiso, IN 46385-9277

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