Individual provider Active NPI

Diane Renee Otness, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1487924387
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1199716 Issued in TX
Practice address
6511 W Loop 1604 N Ste 117
San Antonio, TX 78254-5440
Phone
(210) 201-0185
Fax
(210) 688-9228
NPI assigned
Jan 9, 2012
Last updated
May 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1199716 TX Primary

Addresses

Primary practice location

6511 W Loop 1604 N Ste 117
San Antonio, TX 78254-5440

Mailing address

12413 Judson Rd Ste 260
Live Oak, TX 78233-3262
Phone (210) 201-0185

Other practice location 1

1635 NE Loop 410 Ste 609
San Antonio, TX 78209-1619
Phone (210) 967-6101

Other practice location 2

9410 State Highway 151 Ste 104
San Antonio, TX 78251-4784
Phone (210) 419-8379

Other names 1

  • Diane Vogt Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120928000239 TX Practitioner - Physical Therapist in Private Practice 1658520051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6511 W Loop 1604
Suite 117
San Antonio, TX 78254-5440
Phone (210) 201-0185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1199716TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
Mission Rehabilitation and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients

Locations

12413 Judson Rd
Ste 260
Live Oak, TX 78233
Phone (210) 656-7953

3875 E Southcross Blvd
Ste B
San Antonio, TX 78222
Phone (210) 337-7953

6511 W Loop 1604 N
Ste 117
San Antonio, TX 78254
Phone (210) 201-0185

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1487924387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 JUDSON RD STE 260",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333262",
            "telephone_number": "210-201-0185",
            "fax_number": "210-688-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 W LOOP 1604 N STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545440",
            "telephone_number": "210-201-0185",
            "fax_number": "210-688-9228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 NE Loop 410 Ste 609",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782091619",
            "country_code": "US",
            "telephone_number": "210-967-6101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9410 State Highway 151 Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514784",
            "country_code": "US",
            "telephone_number": "210-419-8379",
            "fax_number": "210-319-7051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTNESS",
        "first_name": "DIANE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-09",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1199716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "VOGT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.