RICHARD EDWARD NYBERG


Address: 2191 Northlake Pkwy, Suite 31, Tucker, GA 30084-4166
Phone: 7704916004

RICHARD EDWARD NYBERG (NPI# 1366630345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366630345
Entity Type Individual
Full Name RICHARD EDWARD NYBERG
Credential P.T.
Practice Address 2191 Northlake Pkwy
Suite 31
Tucker
GA 30084-4166
Practice Telephone 7704916004
Practice Fax Number 7707230872
Mailing Telephone 7704916004
Mailing Fax Number 7707230872
Enumeration Date 2007-10-04
Last Update Date 2007-10-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
0897 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers RICHARD NYBERG

NPI Name Taxonomy Address Enumeration
1760556468 Richard Nyberg Social Worker 901 Dove St, Suite 150, Newport Beach, CA 92660-3023 2006-11-17

Office Location

Street Address 2191 NORTHLAKE PKWY
SUITE 31
City TUCKER
State GA
Zip Code 30084-4166

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285721118 Jonathan Jamir Eaton Dentist 2191 Northlake Pkwy, Bulding 11, Suite 20, Tucker, GA 30084-4166 2006-10-10
1407289622 Brad A Johanson Physical Therapist 2191 Northlake Pkwy, Building 11 Suite 31, Tucker, GA 30084-4166 2013-08-12
1477860682 Cheryl Ann Horton-habit Dental Assistant 2191 Northlake Pkwy, Building 11, Suite 20, Tucker, GA 30084-4166 2010-09-09
1164691598 Medlife Medical Supply LLC Durable Medical Equipment & Medical Supplies 2191 Northlake Pkwy, Suite-j Bldg #11, Tucker, GA 30084-4166 2008-02-29
1588840003 Pamela May Physical Therapist 2191 Northlake Pkwy, Suite 31, Tucker, GA 30084-4166 2008-01-15
1851572051 Kenneth B Smith Durable Medical Equipment & Medical Supplies 2191 Northlake Pkwy, Bldg. #11, Suite-j, Tucker, GA 30084-4166 2007-11-16
1740478734 Deborah Ann Herberger Physical Therapist 2191 Northlake Pkwy, Suite 31, Tucker, GA 30084-4166 2007-10-04
1104014125 Roger Alan Kilcrease Physical Therapist 2191 Northlake Pkwy, Suite 31, Tucker, GA 30084-4166 2007-10-04
1942348073 Americare Medical and Surgical Supply Co Durable Medical Equipment & Medical Supplies 2191 Northlake Pkwy, Suite F, Tucker, GA 30084-4166 2007-02-01
1427116169 Michael Stanley Johnston Pain Medicine 2191 Northlake Pkwy, Suite 1122, Tucker, GA 30084-4166 2006-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609401355 Excellent Medical Transport Ambulance 4378 Sentry Dr, Tucker, GA 30084 2020-03-03
1811468796 Caleb Lee Ebbets Physical Therapist 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 2018-12-17
1417436130 Benjamin Han Wook Chong Physical Therapist 1460 Montreal Road East, Suite 300, Tucker, GA 30084 2018-08-13
1336659325 Lavista Acupuncture and Herbal Medicine Acupuncturist 4915 Lavista Rd, Tucker, GA 30084 2017-10-04
1699294207 Debrica Butler Counselor 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 2017-09-14
1295264695 Jolanta Wazgowska Hopkins Social Worker 4404 Idlewood Lane, Tucker, GA 30084 2017-06-08
1164956157 Sage Dental Group of Georgia LLC Dentist 4320 Lavista Rd, Suite C119, Tucker, GA 30084 2017-04-17
1689107807 Mashail Manzur Podiatrist 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 2017-04-05
1053765578 Jessica Spruyt Speech-Language Pathologist 3756 Lavista Rd Suite 104, Tucker, GA 30084 2016-04-21
1265802318 Spine and Orthopedics of Atlanta, LLC Clinic/Center 1462 Montreal Rd Ste 218, Tucker, GA 30084 2015-10-01
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407289622 Brad A Johanson Physical Therapist 2191 Northlake Pkwy, Building 11 Suite 31, Tucker, GA 30084-4166 2013-08-12
1295170868 All Health Physical Therapy Physical Therapist 2185 Northlake Pkwy Ste 100, Tucker, GA 30084-4100 2013-05-08
1588840003 Pamela May Physical Therapist 2191 Northlake Pkwy, Suite 31, Tucker, GA 30084-4166 2008-01-15
1104014125 Roger Alan Kilcrease Physical Therapist 2191 Northlake Pkwy, Suite 31, Tucker, GA 30084-4166 2007-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871100479 Production Physicos,llc Physical Therapist 461 Sandy Creek Rd Ste 1102, Fayetteville, GA 30214-4284 2020-09-28
1710593819 David Spellings Physical Therapist 3991 Us-78, Suite 200, Snellville, GA 30039 2020-09-23
1841801644 Noah Konner Lindsey Physical Therapist 5270 Peachtree Pkwy Ste 116, Norcross, GA 30092-2558 2020-08-14
1942810106 Caitlin M Hesse Physical Therapist 4480 S Cobb Dr Se Ste Y, Smyrna, GA 30080-6984 2020-08-03
1669007316 Dynamic Swing Performance, LLC Physical Therapist 2031 Cobblestone Cir Ne, Brookhaven, GA 30319-4909 2020-03-03
1356810113 Ryan Daniel Ahlenius Physical Therapist 6360 Dove Dr, Loganville, GA 30052-3031 2018-11-21
1720557127 Dr. Tiffany Lamonde LLC Physical Therapist 1445 Haw Creek Circle, Suite 503, Cumming, GA 30041 2018-11-15
1700363686 Jason Y Kawamura Physical Therapist 2300 Liam Ave Ste 103, Dacula, GA 30019-2265 2018-07-24
1649766528 Carrie Elizabeth Dendtler Physical Therapist 320 Montgomery Ave, Alpharetta, GA 30004-3163 2018-07-03
1558853085 Re Generate Physiotherapy, LLC Physical Therapist 1240 Ga-54, Building 700, Fayetteville, GA 30214 2018-05-31
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Competitor

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City TUCKER
Zip Code 30084

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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