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KDM PHYSICAL THERAPY
NPI 1437362076
Orthopaedic Surgery - Sports Medicine in Warsaw, IN

Active since May 08, 2007
2562 WALTON BLVD, WARSAW, IN 46582(219) 263-8849(219) 476-0108 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Kdm Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KDM PHYSICAL THERAPY (NPI 1437362076) is a healthcare organization registered as a sports medicine in Warsaw, Indiana and active in the NPI registry since May 2007. The organization lists John M Diveris, President, as its authorized official.

NPPES Registry Identity

NPI1437362076
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameDIVERIS ORTHOPEDICS AND SPORTS MEDICINE,PC
Location Address2562 WALTON BLVDWarsaw, IN 46582-6522
Mailing Address2562 Walton BlvdWarsaw, IN 46582-6522 · (219) 263-8849 · Fax (574) 267-2866
Phone(219) 263-8849
Fax(219) 476-0108
Organization SubpartNo
Authorized OfficialJohn M DiverisPresident · (219) 263-8849
Enumeration DateMay 8, 2007
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1437362076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in IN · 01040065A
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2562 WALTON BLVD, Warsaw, IN 46582
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Other Names 1

Doing Business AsKdm Physical Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diveris Orthopedics And Sports Medicine,pc's NPI number?

The NPI number for Diveris Orthopedics And Sports Medicine,pc is 1437362076. It was assigned to this organization in the NPPES registry on May 8, 2007. The provider is doing business as Kdm Physical Therapy.

Where is Diveris Orthopedics And Sports Medicine,pc located?

Diveris Orthopedics And Sports Medicine,pc is located at 2562 Walton Blvd, Warsaw, IN 46582. The listed phone number is (219) 263-8849.

What is Diveris Orthopedics And Sports Medicine,pc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Diveris Orthopedics And Sports Medicine,pc was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.