Joshua Nyberg

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

PT307805 Issued in CA

Practice address

691 E Bidwell St
Folsom, CA 95630-3120

Phone

(916) 572-6162

NPI assigned

Apr 22, 2025

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mac Performance Physical Therapy IncGroup PAC ID 7810365608, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Mac Performance Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Folsom, CA
  • NPI 1366162950

  Sports

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1689461865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 CREEKSIDE DR APT 2022",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 E BIDWELL ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303120",
            "telephone_number": "916-572-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "CA",
            "license": "PT307805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Lynn Noxon, LMFT
• Nuclear Physicians Medical Group
• Grant Glass Nugent, M.D.
• Danielle Nicole Nunes, LMFT
• Kenneth Nyaboye
• Waine Thet Juju Nyein
• O'Donnell Dental Corporation (Folsom Hills Dentistry Dental Group)
• O'Donnell Physical Therapy Corp.
• Connor Owen O'Keefe
• Patrick O'Malley, M.D.

• Sports Physical Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Sports Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.