Individual provider Active NPI

Joshua Robert Foster, DPT

  • Physical Therapist
  • South Lake Tahoe, CA
National Provider Identifier
1437815883
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
305500 Issued in CA
Practice address
593 Tahoe Keys Blvd
South Lake Tahoe, CA 96150-3491
Phone
(530) 208-9910
NPI assigned
Nov 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 305500 CA Primary

Addresses

Primary practice location

593 Tahoe Keys Blvd
South Lake Tahoe, CA 96150-3491

Mailing address

593 Tahoe Keys Blvd
South Lake Tahoe, CA 96150-3491
Phone (530) 208-9910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305004605 CA Practitioner - Physical Therapist in Private Practice 9436595030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Revolution Physical Therapy PCGroup PAC ID 5092174987, 12 clinicians

Practice addresses (Care Compare)

2038 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6499
Phone (530) 208-9910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61210595WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Revolution Physical Therapy, PC Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients
Mind Body Physical Therapy P.C. Physical Therapist CurrentSince Jan 15, 2024 Accepting new patients

Locations

2038 Lake Tahoe Blvd
South Lake Tahoe, CA 96150
Phone (530) 208-9910

40173 Truckee Airport Rd
Ste 102
Truckee, CA 96161
Phone (530) 999-5787

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1437815883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 TAHOE KEYS BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503491",
            "telephone_number": "530-208-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 TAHOE KEYS BLVD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503491",
            "telephone_number": "530-208-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "JOSHUA",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-10",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.