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

Andrew Dieckmann, PT, DPT, LAT, ATC

Individual provider Athletic Trainer · NPI 1821573478

Andrew Dieckmann, PT, DPT, LAT, ATC is an Athletic Trainer in Moore, Oklahoma. Works from 2 locations. Licensed in Missouri and Oklahoma.

Licensed in
MO, OK
In the registry since
2018
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1700 S Broadway St Ste E
Moore, OK 73160-5302
Phone: (405) 735-8777
Show map & directions

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

Additional practice locations (1)

  • 14638 S Kaw Dr, Olathe, KS 66062-4867 — (913) 645-2348

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 6231 (OK)
Athletic Trainer Taxonomy 2255A2300X · Licence 2019026347 (MO)

Record details

NPI number1821573478
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , LAT , ATC
Sole proprietorNo
NPI enumeratedSeptember 30, 2018
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

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