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ANDREW DIECKMANN PT DPT LAT ATC NPI 1821573478


NPI Information

NPI: 1821573478
Provider Name: ANDREW DIECKMANN, PT, DPT, LAT, ATC
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
1700 S BROADWAY ST STE E
MOORE, OK
ZIP 73160
Phone: (405) 735-8777
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Andrew Dieckmann, PT, DPT, LAT, ATC is an orthopedic physical therapist in Moore, OK with 2 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Andrew Dieckmann, PT, DPT, LAT, ATC NPI is 1821573478. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1700 S BROADWAY ST STE E
MOORE, OK
ZIP 73160-302
Phone: (405) 735-8777

The enumeration date for this NPI number is 9/30/2018 and was last updated on 8/11/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12255A2300XSpecialist/TechnologistAthletic Trainer2019026347MISSOURINo
22251X0800XPhysical TherapistOrthopedic6231OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.