Organization · Type 2 NPI
Diversified Mobile PT LLC
Nurse Practitioner · Omaha, NE
Practice location
5114 N 137th St
Omaha, NE 68164-6191
Fax (531) 201-6077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | None listed |
| Physical Therapist | 225100000X | None listed |
| Physical Therapy Assistant | 225200000X | None listed |
| Occupational Therapist | 225X00000X | None listed |
| Speech-Language Pathologist | 235Z00000X | None listed |
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
2 other providers at this address
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About NPI 1164289880
Diversified Mobile PT LLC's National Provider Identifier is 1164289880, issued on Feb 29, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Omaha, NE. The record was last updated on May 15, 2026.