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Deactivated NPI 1619386430 Deactivated / Inactive NPI Female Practitioner

Amy Lynn Heitzig , PTA

Physical Therapy Assistant • White Hall, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amy Heitzig has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 06, 2014
NPI Deactivation Date March 02, 2018
Total Practice Duration ~4 Years of Practice (2014 – 2018)

Professional Overview & Biography Verified Profile Summary

Amy Heitzig, PTA was a registered Physical Therapy Assistant practicing in White Hall, IL. Throughout an active medical career spanning 4 years, Amy Heitzig provided care at the practice location at 620 W BRIDGEPORT ST until profile deactivation on 2018-03-02.

Practice Location & Contact Primary Location

Practice Address

620 W Bridgeport St

White Hall, IL 620921001

Telephone 2173742144
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in White Hall, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in White Hall, IL (2719 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License IL 160.001512

(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 the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Physical Therapy Assistant

NUCC Taxonomy Code: 225200000X

State License MO 2014037473

(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 the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Secondary Practice Locations

1307 State Highway 109

Jerseyville, IL 620522396

Phone: 6184986525

4560 Se International Way Ste 101

Portland, OR 972224628

Phone: 9712065202

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1194113514

Physical Therapist

NPI 1619302510

Registered Physical Therapist

Susan Randall

Occupational Therapy Assistant

NPI 1922784347

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
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Updated Practice Location December 04, 2018

Registered at 620 W BRIDGEPORT ST, WHITE HALL, IL 620921001 (Tel: 2173742144)

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Updated Business Mailing Address December 04, 2018

Registered at 620 W BRIDGEPORT ST, WHITE HALL, IL 620921001 (Tel: 2173742144)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2018

Physical Therapy Assistant (License #2014037473 in MO)

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Updated Practice Location September 19, 2018

Registered at 1307 STATE HIGHWAY 109, JERSEYVILLE, IL 620522396 (Tel: 6184986525)

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Updated Business Mailing Address September 19, 2018

Registered at 1307 STATE HIGHWAY 109, JERSEYVILLE, IL 620522396 (Tel: 6184989565)

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Provider Name / Credentials Updated September 19, 2018

Recorded as AMY HEITZIG, PTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2018

Physical Therapy Assistant (License #160.001512 in IL)

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NPI Profile Deactivated March 02, 2018

Record deactivated on March 02, 2018

NPI Profile Active November 08, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 08, 2016

Registered at 1307 STATE HIGHWAY 109, JERSEYVILLE, IL 620522396 (Tel: 6184986525)

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Updated Business Mailing Address November 08, 2016

Registered at 1307 STATE HIGHWAY 109, JERSEYVILLE, IL 620522396 (Tel: 6184989565)

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Provider Name / Credentials Updated November 08, 2016

Recorded as AMY HEITZIG, PTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2016

Physical Therapy Assistant (License #160.001512 in IL)

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Initial NPI Registration & Enumeration August 06, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619386430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2014
Last Update: December 04, 2018
Deactivation Date: March 02, 2018
Sole Proprietor: No

Mailing Address

620 W Bridgeport St

White Hall, IL 620921001

Phone: 2173742144

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.