NPIMap

Individual provider Active NPI

Laurel Roberta Oberg, P.T.

  • Physical Therapist
  • Long Beach, CA
National Provider Identifier
1750450136
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33212 Issued in CA
Practice address
6382C E Pacific Coast Hwy
Long Beach, CA 90803-4804
Phone
(562) 596-7074
Fax
(562) 596-7214
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 33212 CA Primary

Addresses

Primary practice location

6382C E Pacific Coast Hwy
Long Beach, CA 90803-4804

Mailing address

1071 Prospect Blvd
Pasadena, CA 91103-2811
Phone (562) 596-7074

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915000540 MT Practitioner - Physical Therapist in Private Practice 8527443340 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

331 S Washington Ave
Suite D
Laurel, MT 59044-3346
Phone (406) 628-2831

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic CurrentSince May 13, 2022 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Dec 11, 2025 Accepting new patients
Billings Clinic CurrentSince May 13, 2022 Accepting new patients
SCL Health Medical Group - Billings, LLC CurrentSince Dec 11, 2025 Accepting new patients
Billings Clinic Past Accepting new patients
Movement Works Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

1020 N 27th St
Billings, MT 59101
Phone (406) 238-2000

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205

331 S Washington Ave
Ste D
Laurel, MT 59044
Phone (406) 628-2831

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750450136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 PROSPECT BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911032811",
            "telephone_number": "562-596-7074",
            "fax_number": "562-596-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6382C E PACIFIC COAST HWY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908034804",
            "telephone_number": "562-596-7074",
            "fax_number": "562-596-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERG",
        "first_name": "LAUREL",
        "middle_name": "ROBERTA",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.