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Diveris Orthopedics and Sports Medicine,pc — NPI 1437362076, Warsaw, IN | NPI Central

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NPI 1437362076

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Diveris Orthopedics and Sports Medicine,pc

NPI 1437362076 · Sports Medicine (Orthopaedic Surgery) Physician · Warsaw, IN

Provider details

NPI number: 1437362076
Entity type: Organization
Primary specialty: Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: John Diveris, President(219) 263-8849
License: 01040065A (IN)

Specialties & taxonomies

Sports Medicine (Orthopaedic Surgery) PhysicianPrimary207XX0005XLicense 01040065A (IN)
Allopathic & Osteopathic Physicians

Practice location

2562 Walton Blvd

Warsaw, IN 46582-6522

Phone: (219) 263-8849

Fax: (219) 476-0108

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

2562 Walton Blvd

Warsaw, IN 46582-6522

Other names (DBA / former)

Doing business as: Kdm Physical Therapy

Registry dates

Enumerated: 2007-05-08
Last updated: 2023-06-09
Certified: 2023-06-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.