Patricia Faye Nyberg, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA46707 Issued in FL

Practice address

25355 W. Newberry Rd.
Newberry, FL 32669

Phone

(352) 226-2976

Fax

(352) 472-4365

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pain Solutions Therapeutic & Sports Massage

  • Massage Therapist
  • Newberry, FL
  • NPI 1265799605
  NPD (past) Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912125931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 983",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326690983",
            "telephone_number": "352-226-2976",
            "fax_number": "352-472-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25355 W. NEWBERRY RD.",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "32669",
            "telephone_number": "352-226-2976",
            "fax_number": "352-472-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "PATRICIA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA46707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "C3950",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nguyen Family Practice LLC
• Amber Rai Nipper, OT
• Elizabeth Labuz Noble, M.D.
• North Florida Cataract Specialists and Vision Care LLC
• North Florida Regional Medical Center, Inc.
• Patricia Booker O'Connor, ICD, CD(DONA), CLC
• Elijah Ochman
• Janice Marie Odom, LPN
• Claribel Ojeda
• Annie Maude Omoniyi, RN

• Massage Therapist in Newberry, FL
• Providers in Newberry, FL by specialty
• Massage Therapist in Florida

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.