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RICHARD EDWARD NYBERG P.T.
NPI 1366630345
Physical Therapist - Orthopedic in Tucker, GA

Active since October 04, 2007Accepts Medicare Assignment
2191 NORTHLAKE PKWY, SUITE 31, TUCKER, GA 30084(770) 491-6004(770) 723-0872 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Edward Nyberg P.t. NPPES

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

RICHARD EDWARD NYBERG P.T. (NPI 1366630345) is an individual orthopedic provider in Tucker, Georgia, licensed in Georgia (0897) and active in the NPI registry since October 2007. He is a graduate of State University Of New York Downstate Medical Center (1975).

NPPES Registry Identity

NPI1366630345
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameRICHARD EDWARD NYBERGCredential: P.T.
Location Address2191 NORTHLAKE PKWY, SUITE 31Tucker, GA 30084-4166
Mailing Address2191 Northlake Pkwy, Suite 31Tucker, GA 30084-4166 · (770) 491-6004 · Fax (770) 723-0872
Phone(770) 491-6004
Fax(770) 723-0872
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1975
Enumeration DateOctober 4, 2007
✔ NPI 1366630345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in GA · 0897
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.
2191 NORTHLAKE PKWY, Tucker, GA 30084
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Other Identifiers 2

Medicare PIN65PCBDGGA
Medicare UPINR70800GA

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

Richard Edward Nyberg P.t. 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 ID3971770611
PECOS Enrollment IDI20120119000802

Areas of Expertise CMS Part B claims 6

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 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.
2,025 services90 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
1,591 services91 patients
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.
1,079 services99 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
390 services91 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
93 services23 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
67 services52 patients

Other Providers at the Same Location NPPES 8

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

ROGER ALAN KILCREASE P.T.
Physical Therapist (Orthopedic)
2191 NORTHLAKE PKWY, SUITE 31
TUCKER, GA 30084
Dekalb County (770) 491-6004
MEDLIFE MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies
2191 NORTHLAKE PKWY, SUITE-J BLDG #11
TUCKER, GA 30084
Dekalb County (770) 908-5666
DR. JONATHAN JAMIR EATON D.D.S.
Dentist (Pediatric Dentistry)
2191 NORTHLAKE PKWY, BULDING 11, SUITE 20
TUCKER, GA 30084
Dekalb County (770) 934-3506
DR. MICHAEL STANLEY JOHNSTON M.D.
Pain Medicine (Pain Medicine)
2191 NORTHLAKE PKWY, SUITE 1122
TUCKER, GA 30084
Dekalb County (678) 822-5810
PAMELA MAY P.T.
Physical Therapist (Orthopedic)
2191 NORTHLAKE PKWY, SUITE 31
TUCKER, GA 30084
Dekalb County (770) 491-6004
DEBORAH ANN HERBERGER P.T.
Physical Therapist
2191 NORTHLAKE PKWY, SUITE 31
TUCKER, GA 30084
Dekalb County (770) 491-6004
KENNETH B SMITH
Durable Medical Equipment & Medical Supplies
2191 NORTHLAKE PKWY, BLDG. #11, SUITE-J
TUCKER, GA 30084
Dekalb County (770) 908-5666
AMERICARE MEDICAL AND SURGICAL SUPPLY CO
Durable Medical Equipment & Medical Supplies
2191 NORTHLAKE PKWY, SUITE F
TUCKER, GA 30084
Dekalb County (770) 270-5350

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 Richard Nyberg's NPI number?

The NPI number for Richard Nyberg is 1366630345. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Richard Nyberg located?

Richard Nyberg practices at 2191 Northlake Pkwy Suite 31, Tucker, GA 30084. The listed phone number is (770) 491-6004.

What is Richard Nyberg's specialty?

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

Is Richard Nyberg enrolled in Medicare?

Yes. Richard Nyberg 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.

When was this NPI record last updated?

The NPPES record for Richard Nyberg was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.