Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diveris Orthopedics and Sports Medicine, PC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1437362076

Diveris Orthopedics and Sports Medicine, PC is a Sports Medicine (Orthopaedic Surgery) Physician in Warsaw, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2562 Walton Blvd
Warsaw, IN 46582-6522
Phone: (219) 263-8849
Fax: (219) 476-0108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 01040065A (IN)

Record details

NPI number1437362076
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Diveris — President · (219) 263-8849
Other names Kdm Physical Therapy
NPI enumeratedMay 8, 2007
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address2562 Walton Blvd, Warsaw, IN 46582-6522