Kelly K. Fosberg, PT, DPT, PHD, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6966 Issued in AZ

Practice address

5200 E Cortland Blvd Ste C1
Flagstaff, AZ 86004-9341

Phone

(928) 440-5094

Fax

(928) 440-5097

NPI assigned

Jun 25, 2006

Last updated

Feb 24, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Buckeye, AZ
  • NPI 1467129684
  Medicare reassignment Care Compare group
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1093681033
  NPD
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1356932602
  NPD
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy

  • Physical Therapy Clinic/Center
  • Gilbert, AZ
  • NPI 1497271431
  NPD
• Alpha and Omega Physical Therapy Acc

  • Physical Therapist
  • Show Low, AZ
  • NPI 1245202456
  NPD (past)
• BHSM Rehabilitation, LLC

  dba Banner Physical Therapy and Rehabilitation

  • Physical Therapy Clinic/Center
  • Peoria, AZ
  • NPI 1285271684
  NPD (past)
• Resource Physical Therapy

  • Physical Therapist
  • Cottonwood, AZ
  • NPI 1174661185
  NPD (past)
• Resource Physical Therapy

  • Specialist
  • Cottonwood, AZ
  • NPI 1205890134
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1932135282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 E CORTLAND BLVD STE C1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860049341",
            "telephone_number": "928-440-5094",
            "fax_number": "928-440-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 E CORTLAND BLVD STE C1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860049341",
            "telephone_number": "928-440-5094",
            "fax_number": "928-440-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSBERG",
        "first_name": "KELLY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, PHD, OCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forest Canyon Endoscopy & Surgery Ctr PC
• Forest Canyon Endoscopy &Surgery Ctr PC
• Forest Country Anesthesia, P.C.
• Forkela, LLC (Vuori Health)
• Lindsey Marie Forstie, FNP
• Tereza Foscolos
• Lisa Nicklawsky Foss
• Danae M Foster, AUD., CCC-A
• Jenniene L Foster, MD
• Mark C Foster, M.D.

• Physical Therapist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.