Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

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

Individual provider Physical Therapist · NPI 1932135282

Dr. Kelly K. Fosberg, PT, DPT, PHD, OCS is a Physical Therapist in Private Practice in Flagstaff, Arizona. Qualified in 2004, 22 years ago. Practices with Bhsm Rehabilitation LLC, a 456-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

5200 E Cortland Blvd Ste C1
Flagstaff, AZ 86004-9341
Phone: (928) 440-5094
Fax: (928) 440-5097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6966 (AZ)

Record details

NPI number1932135282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , PHD , OCS
Sole proprietorYes
NPI enumeratedJune 25, 2006
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Bhsm Rehabilitation Llc — 456 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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