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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignment

Medicare enrollment records show Joshua Nyberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mac Performance Physical Therapy Inc
Same address
Orthopedic
691 E BIDWELL ST
Folsom, CA 95630
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group
NPI 1366162950 (916) 572-6162

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
691 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 572-6162
DANIEL LEE MACLEAN MPT
Physical Therapist
691 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 572-6162
MAC PERFORMANCE PHYSICAL THERAPY INC
Physical Therapist (Orthopedic)
691 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 572-6162
CONNOR LEISHMAN DPT
Physical Therapist
691 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 572-6162
BAILEY JOY IWASA DPT
Physical Medicine & Rehabilitation (Sports Medicine)
691 E BIDWELL ST
FOLSOM, CA 95630
Sacramento County (916) 572-6162

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 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.

Where is Joshua Nyberg located?

Joshua Nyberg practices at 691 E Bidwell St, Folsom, CA 95630. The listed phone number is (916) 572-6162.

What is Joshua Nyberg's specialty?

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

Is Joshua Nyberg enrolled in Medicare?

Yes. Joshua 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.

Which organization bills Medicare for Joshua Nyberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Nyberg reassigns Medicare benefits to Mac Performance Physical Therapy Inc (Folsom, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Nyberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 18 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.