Individual provider Active NPI

Amy Burtner, PTA

  • Physical Therapy Assistant
  • Valparaiso, IN
National Provider Identifier
1083812499
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06001244A Issued in IN
Practice address
265 Morthland Dr Ste a
Valparaiso, IN 46383-6205
Phone
(219) 926-5850
NPI assigned
Jul 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06001244A IN Primary

Addresses

Primary practice location

265 Morthland Dr Ste a
Valparaiso, IN 46383-6205

Mailing address

159 E 700 S
Kouts, IN 46347-9673
Phone (219) 405-8951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06001244AINMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physical Therapy LLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

265 Morthland Dr
Ste A
Valparaiso, IN 46383
Phone 2199265850 ext. 2

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1083812499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E 700 S",
            "city": "KOUTS",
            "state": "IN",
            "postal_code": "463479673",
            "telephone_number": "219-405-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MORTHLAND DR STE A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463836205",
            "telephone_number": "219-926-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTNER",
        "first_name": "AMY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06001244A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.