Diversified Mobile PT LLC
NPI 1164289880ActiveOrganization· Nurse Practitioner· Omaha, NE
Nurse Practitioner in Omaha, Nebraska, registered in NPPES in February 2024. The authorized official on file is Nicole Kristine Dickmeyer, PT, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1164289880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 29, 2024 |
| Last updated in NPPES | May 15, 2026 |
| Certified by provider | May 15, 2026 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NE) |
|---|
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