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

Diversified Mobile PT LLC

Organization Occupational Therapy Assistant · NPI 1164289880

Diversified Mobile PT LLC is an Occupational Therapy Assistant in Omaha, Nebraska. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5114 N 137th St
Omaha, NE 68164-6191
Phone: (402) 819-7956
Fax: (531) 201-6077
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Physical Therapy Assistant Taxonomy 225200000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1164289880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Dickmeyer — Owner · (402) 317-9120
NPI enumeratedFebruary 29, 2024
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address5114 N 137th St, Omaha, NE 68164-6191

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