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

Richard Edward Nyberg, PT

Individual provider Orthopedic Physical Therapist · NPI 1366630345

Richard Edward Nyberg, PT is a Physical Therapist in Private Practice in Tucker, Georgia. Graduated from State University of New York Downstate Medical Center in 1975, 51 years ago. Practices with Atlanta Back Clinic - Orthopedic Phys Therapy and Training Ctr Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
51
Trained at
State University of New York Downstate Medical Center
Licensed in
GA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2191 Northlake Pkwy Ste 31
Tucker, GA 30084-4166
Phone: (770) 491-6004
Fax: (770) 723-0872
Show map & directions

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

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 0897 (GA)

Record details

NPI number1366630345
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedOctober 4, 2007
Last updated in NPPESOctober 4, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 1975 (51 years in practice)
Group practice Atlanta Back Clinic - Orthopedic Phys Therapy And Training Ctr Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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