Individual provider Active NPI

Diana Marie Warren, PT, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1902358948
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1105456 Issued in KS
Practice address
16052 Foster St
Overland Park, KS 66085-8876
Phone
(913) 897-8960
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2016038203 MO
Physical Therapist 225100000X 1105456 KS Primary

Addresses

Primary practice location

16052 Foster St
Overland Park, KS 66085-8876

Mailing address

16052 Foster St
Overland Park, KS 66085-8876
Phone (913) 897-8960

Other names 1

  • Diana Marie Anderson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170829003675 MO Practitioner - Physical Therapist in Private Practice 7719250695 Reassigns benefits to 1 organization
I20220126001158 KS Practitioner - Physical Therapist in Private Practice 7719250695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

11207 Shawnee Mission Pkwy
Shawnee, KS 66203-3333
Phone (913) 275-5751

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1105456KSMDPhysical Therapist
2016038203MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BSP Kansas LLC Physical Therapist CurrentSince Oct 27, 2021 Accepting new patients
Boost Sports Performance, LLC CurrentSince May 1, 2017 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 11, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Apr 11, 2025 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

9544 Antioch Rd
Overland Park, KS 66212
Phone (913) 396-6756

16052 Foster St
Overland Park, KS 66085
Phone (913) 897-8960

17011 Bel Ray Blvd
Belton, MO 64012
Phone (816) 425-4523

3801 Selsa Rd
Ste 7
Independence, MO 64057
Phone (816) 795-0434

2861 NE Independence Ave
Ste 104
Lees Summit, MO 64064
Phone (816) 272-8538

1254 SE Century Dr
Lees Summit, MO 64081
Phone (816) 524-1442

2105 Kara Ct
Ste 1-A
Liberty, MO 64068
Phone (816) 377-5141

470 Johnson Rd
Ste 100
Washington, PA 15301

Interoperability endpoints

  • Direct secure messaging: diana.warren.p9@direct.athleticoltd.nextgenshare.com

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1902358948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16052 FOSTER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858876",
            "telephone_number": "913-897-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 FOSTER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "660858876",
            "telephone_number": "913-897-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "DIANA",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016038203",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1105456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "ANDERSON",
            "middle_name": "MARIE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.