ANDREW DIECKMANN PT, DPT, LAT, ATC
NPI 1821573478
Physical Therapist - Orthopedic in Moore, OK

Active since September 30, 2018Accepts Medicare Assignment
1700 S BROADWAY ST STE E, MOORE, OK 73160(405) 735-8777 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2022, Dec 1, 2021, Sep 30, 2018 (3 updates tracked since 2018).

About Andrew Dieckmann Pt, Dpt, Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW DIECKMANN PT, DPT, LAT, ATC (NPI 1821573478) is an individual orthopedic provider in Moore, Oklahoma, licensed in Oklahoma (6231) and active in the NPI registry since September 2018. He maintains a secondary practice location in Olathe and is a graduate of Other (2022).

NPPES Registry Identity

NPI1821573478
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameANDREW DIECKMANNCredential: PT, DPT, LAT, ATC
Location Address1700 S BROADWAY ST STE EMoore, OK 73160-5302
Mailing Address14638 S Kaw DrOlathe, KS 66062-4867 · (913) 645-2348
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 30, 2018
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
NPI 1821573478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in OK · 6231
Definition
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 2019026347 (MO)
1700 S BROADWAY ST STE E, Moore, OK 73160

Secondary Practice Location 1

Location 114638 S Kaw DrOlathe, KS 66062-4867 · Phone (913) 645-2348

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Dieckmann Pt, Dpt, Lat, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729455332
PECOS Enrollment IDI20221110000360

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
1,308 services27 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
367 services25 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1700 S BROADWAY ST STE E
MOORE, OK 73160
Physical Therapist
1700 S BROADWAY ST STE E
MOORE, OK 73160
Physical Therapist
1700 S BROADWAY ST STE E
MOORE, OK 73160
Physical Therapist
1700 S BROADWAY ST STE E
MOORE, OK 73160
Physical Therapist
1700 S BROADWAY ST STE E
MOORE, OK 73160
Physical Therapist
1700 S BROADWAY ST STE E
MOORE, OK 73160
Physical Therapist
1700 S BROADWAY ST STE E
MOORE, OK 73160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Dieckmann's NPI number?

The NPI number for Andrew Dieckmann is 1821573478. It was assigned to this individual provider in the NPPES registry on September 30, 2018.

Where is Andrew Dieckmann located?

Andrew Dieckmann practices at 1700 S Broadway St Ste E, Moore, OK 73160. The listed phone number is (405) 735-8777.

What is Andrew Dieckmann's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Andrew Dieckmann enrolled in Medicare?

Yes. Andrew Dieckmann is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Dieckmann accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Andrew Dieckmann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Dieckmann was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.