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

Joshua Nyberg

Individual provider Sports Physical Therapist · NPI 1689461865

Joshua Nyberg is a Physical Therapist in Private Practice in Folsom, California. Qualified in 2024, 2 years ago. Practices with Mac Performance Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025

Practice location Address checks out

691 E Bidwell St
Folsom, CA 95630-3120
Phone: (916) 572-6162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence PT307805 (CA)

Record details

NPI number1689461865
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address1780 Creekside Dr Apt 2022, Folsom, CA 95630-3861

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mac Performance Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount