Active NPI
Diana Marie Warren, PT, DPT
- Physical Therapist
- Overland Park, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1105456
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1105456 | KS | MD | Physical Therapist |
| 2016038203 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BSP Kansas LLC | Physical Therapist | Current | Accepting new patients |
| Boost Sports Performance, LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | 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
- 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.
-
dba Boost Physical Therapy & Sports Performance
- Physical Therapy Clinic/Center
- Lee's Summit, MO
- NPI 1548428931
-
dba Boost Physical Therapy and Sports Performance
- Physical Therapy Clinic/Center
- Overland Park, KS
- NPI 1487903951
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
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.