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(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Occupational Therapist |
225X00000X | 67 | Occupational Therapist in Private Practice | |
Occupational Therapy Assistant |
224Z00000X | |||
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Physical Therapy Assistant |
225200000X | |||
Speech-Language Pathologist |
235Z00000X | 15 | Speech Language Pathologist |
| NPI # | 1164289880 |
| LBN Legal business name | DIVERSIFIED MOBILE PT LLC |
| Authorized official | NICOLE DICKMEYER - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/29/2024 |
| Last updated | 05/15/2026 - About a month ago |
| Identifiers | n/a |
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DIVERSIFIED MOBILE PT LLC