Provider Demographics
NPI:1366314031
Name:DIELMO, NIKKI TAYLOR (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:NIKKI
Middle Name:TAYLOR
Last Name:DIELMO
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 OLD HICKORY BLVD UNIT 126
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-5393
Mailing Address - Country:US
Mailing Address - Phone:609-941-1986
Mailing Address - Fax:
Practice Address - Street 1:3343 ASPEN GROVE DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-2908
Practice Address - Country:US
Practice Address - Phone:615-651-4833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8407225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist