Active NPI
Nicole Kristine Dickmeyer, PT, DPT
- Physical Therapist
- Omaha, NE
National Provider Identifier
1821390378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2875
- Practice address
- 5114 N 137TH St
Omaha, NE 68164-6191 - Phone
- (402) 819-7956
- Fax
- (531) 201-6077
- NPI assigned
- Dec 2, 2010
- Last updated
- Apr 28, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4567 | IA | |
| Physical Therapist | 225100000X | 2875 | NE | Primary |
Addresses
Primary practice location
5114 N 137TH St
Omaha, NE 68164-6191
Mailing address
5114 N 137TH St
Omaha, NE 68164-6191
Phone (402) 819-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Nebraska College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5114 N 137TH St
Omaha, NE 68164-6191
Phone (402) 819-7956
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4567 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diversified Mobile PT LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1821390378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5114 N 137TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681646191",
"telephone_number": "402-819-7956",
"fax_number": "531-201-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5114 N 137TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681646191",
"telephone_number": "402-819-7956",
"fax_number": "531-201-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKMEYER",
"first_name": "NICOLE",
"middle_name": "KRISTINE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "4567",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "2875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.