Active NPI
Diane A Brock, PTA
- Physical Therapy Assistant
- Indianapolis, IN
National Provider Identifier
1023091279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTAA01579
- Practice address
- 5214 S East St
HTS Outpatient Therapy Services BLDG D Ste 1
Indianapolis, IN 46227-1917 - Phone
- (800) 486-4449
- Fax
- (317) 780-3745
- NPI assigned
- Nov 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTAA01579 | KY | Primary |
Addresses
Primary practice location
5214 S East St
HTS Outpatient Therapy Services BLDG D Ste 1
Indianapolis, IN 46227-1917
Mailing address
5214 S East St
BLDG D Ste 1
Indianapolis, IN 46227-1917
Phone (800) 486-4449
Other names 1
- Miss Diane Allen
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTAA01579 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023091279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5214 S EAST ST",
"address_2": "BLDG D STE 1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271917",
"telephone_number": "800-486-4449",
"fax_number": "317-780-3745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5214 S EAST ST",
"address_2": "HTS OUTPATIENT THERAPY SERVICES BLDG D STE 1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462271917",
"telephone_number": "800-486-4449",
"fax_number": "317-780-3745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "DIANE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "PTAA01579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "ALLEN",
"prefix": "MISS",
"credential": "DTA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.