# DIVERSIFIED MOBILE PT LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164289880
- **Authorized official:** DR. NICOLE KRISTINE DICKMEYER PT, DPT (OWNER)
- **Authorized official phone:** (402) 317-9120

## Contact information

- **Practice address:** 5114 N 137TH ST, OMAHA, NE 68164-6191
- **Practice address phone:** (402) 819-7956
- **Practice address fax:** (531) 201-6077
- **Mailing address:** 5114 N 137TH ST, OMAHA, NE 68164-6191
- **Mailing address phone:** (402) 819-7956
- **Mailing address fax:** (531) 201-6077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225200000X | Physical Therapy Assistant | — | NULL | — |
| 225200000X | Physical Therapy Assistant | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/29/2024
- **Last updated:** 05/15/2026