JOSHUA NYBERG
NPI 1689461865
Physical Therapist - Sports in Folsom, CA

Q: What is Joshua Nyberg's NPI number?

The NPI number for Joshua Nyberg is 1689461865. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Q: What is Joshua Nyberg's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Nyberg was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 22, 2025Accepts Medicare Assignment

691 E BIDWELL ST, FOLSOM, CA 95630(916) 572-6162 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joshua Nyberg NPPES

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

JOSHUA NYBERG (NPI 1689461865) is an individual sports provider in Folsom, California, licensed in California (PT307805) and active in the NPI registry since April 2025. The provider is a graduate of Other (2024).

NPPES Registry Identity

NPI1689461865

Entity TypeIndividual

Primary Taxonomy2251S0007X

Provider Legal NameJOSHUA NYBERG

Location Address691 E BIDWELL STFolsom, CA 95630-3120

Mailing Address1780 Creekside Dr Apt 2022Folsom, CA 95630-3861

Phone(916) 572-6162

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1689461865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in CA · PT307805

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

691 E BIDWELL ST, Folsom, CA 95630

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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

Joshua Nyberg 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 ID1355857723

PECOS Enrollment IDI20250722003509

Other Providers at the Same Location NPPES 5

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

DR. LINDSEY AMBROSE PT, DPT, ATC

Physical Medicine & Rehabilitation (Sports Medicine)