ANDREW DIECKMANN (PT, DPT, LAT, ATC) – Orthopedic Physical Therapist, NPI 1821573478

ANDREW DIECKMANN (PT, DPT, LAT, ATC) is a healthcare provider. based in Olathe, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, LAT, ATC. They hold a License No. 2019026347 (MO). The NPI Number for ANDREW DIECKMANN (PT, DPT, LAT, ATC) is 1821573478

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW DIECKMANN (PT, DPT, LAT, ATC)
NPI
1821573478
Phone
(913) 645-2348
Address
14638 S Kaw Dr
Enumeration Date
30 September 2018
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057358777
Graduation Year
2022 (4 years ago)
PAC ID
8729455332
Group Practice PAC ID
0345543229
Professional Enrollment ID
I20221110000360
Address ID
OK731605302MO1700XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for ANDREW DIECKMANN (PT, DPT, LAT, ATC)

  • 14638 S Kaw Dr

    Olathe, KS 660624867

    Phone: (913) 645-2348

    Type: Location

  • 14638, South Kaw Drive, Olathe, Johnson County, Kansas, 66062, United States

    OLATHE, KS 660624867

    Phone: (913) 645-2348

    Type: Location

  • 1700 S BROADWAY ST STE E

    MOORE, OK 731605302

    Phone: (405) 735-8777

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221110000360IPhysical Therapist In Private PracticeOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes92315$0
97140Therapy procedure using manual technique, each 15 minutes38815$0
View full utilization report →

Insurance plans in this area (ZIP 66062)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345543229View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeOK
-OK

Reviews

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Frequently asked questions

How do payers reference ANDREW DIECKMANN (PT, DPT, LAT, ATC)?
For ANDREW DIECKMANN (PT, DPT, LAT, ATC), use NPI 1821573478 as the unique 10-digit identifier.
Is there an active status for ANDREW DIECKMANN (PT, DPT, LAT, ATC)?
For scheduling context, ANDREW DIECKMANN (PT, DPT, LAT, ATC) is shown as active in the registry.
How would a patient describe ANDREW DIECKMANN (PT, DPT, LAT, ATC)'s focus?
For ANDREW DIECKMANN (PT, DPT, LAT, ATC), the primary taxonomy reads as Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ANDREW DIECKMANN (PT, DPT, LAT, ATC) located near Olathe?
ANDREW DIECKMANN (PT, DPT, LAT, ATC) currently maps to Olathe, Kansas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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