Organization
DIVERSIFIED MOBILE PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE KRISTINE DICKMEYER PT, DPT (OWNER)
(402) 317-9120
Entity
Organization
Contact information
Practice address
5114 N 137TH ST, OMAHA, NE 68164-6191
(402) 819-7956
(531) 201-6077
Mailing address
5114 N 137TH ST, OMAHA, NE 68164-6191
(402) 819-7956
(531) 201-6077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
05/15/2026
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