Diversified Mobile PT LLC
NPI 1164289880 · Nurse Practitioner · Omaha, NE
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Diversified Mobile PT LLC is a Nurse Practitioner organization in Omaha, NE (NPI 1164289880).
Provider details
- NPI number
- 1164289880
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Nicole Dickmeyer, Owner(402) 317-9120
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physical Therapy Assistant225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-29
- Last updated
- 2026-05-15
- Certified
- 2026-05-15
Frequently asked questions
- What is Diversified Mobile PT LLC's NPI number?
- Diversified Mobile PT LLC's National Provider Identifier (NPI) is 1164289880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Diversified Mobile PT LLC?
- Diversified Mobile PT LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Diversified Mobile PT LLC located?
- Diversified Mobile PT LLC's practice location on file with NPPES is 5114 N 137th St, Omaha, NE 68164-6191.
- What is Diversified Mobile PT LLC's phone number?
- The practice phone number listed in the NPPES registry for Diversified Mobile PT LLC is (402) 819-7956.
- Does Diversified Mobile PT LLC accept Medicare?
- Diversified Mobile PT LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Diversified Mobile PT LLC?
- The authorized official listed on Diversified Mobile PT LLC's NPPES record is Nicole Dickmeyer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Diversified Mobile PT LLC's NPI active?
- Yes — Diversified Mobile PT LLC's NPI (1164289880) is active in the NPPES registry as of the last update on 2026-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.