MRS. PATRICIA FAYE NYBERG (NPI# 1912125931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912125931 |
| Entity Type | Individual |
| Full Name | MRS. PATRICIA FAYE NYBERG |
| Credential | LMT |
| Practice Address |
25355 W. Newberry Rd. Newberry FL 32669 |
| Mailing Address |
Po Box 983 Newberry FL 32669-0983 |
| Practice Telephone | 3522262976 |
| Practice Fax Number | 3524724365 |
| Mailing Telephone | 3522262976 |
| Mailing Fax Number | 3524724365 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA46707 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | C3950 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205028719 | Patricia L Nyberg | Occupational Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-08-17 |
| Street Address |
25355 W. NEWBERRY RD. |
| City | NEWBERRY |
| State | FL |
| Zip Code | 32669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695741 | Jonesville Family Dentistry Pa | Dentist | 175 Nw 138th Terrace, Suite 200, Jonesville, FL 32669 | 2019-12-05 |
| 1952889206 | Guan Physical Therapy and Acupuncture, LLC | Acupuncturist | 13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 | 2018-07-30 |
| 1538611462 | Avery Partners, Inc | Clinic/Center | 105 Sw 140th Terrace, Jonesville, FL 32669 | 2016-10-26 |
| 1760891758 | Fremont Peak Emergency Physicians LLC | Physician Assistant | 12311 W Newberry Road, Newberry, FL 32669 | 2014-08-05 |
| 1962816231 | Advanced Pain Medicine of North Florida LLC | Anesthesiology | 194 Nw 137th Drive, Suite 100, Newberry, FL 32669 | 2014-06-16 |
| 1336571611 | Martin Kids Dental Health Team | Dentist | 13820 W Newberry Rd Ste 100, Jonesville, FL 32669 | 2013-08-08 |
| 1760825699 | 1st Choice Urgent Care Center LLC | Clinic/Center | 128 Nw 137th Drive, Newberry, FL 32669 | 2013-04-10 |
| 1396088068 | Elsie Laguerre | Occupational Therapist | 105 S.w 140th Terrace, Jonesville, FL 32669 | 2013-04-01 |
| 1144530171 | Dana Smith Haase | Speech-Language Pathologist | 105 S.w. 140th Terrace, Jonesville, FL 32669 | 2010-10-08 |
| 1487853271 | Amanda H Mayberry | Massage Therapist | 25355 West Newberry Rd, Newberry, FL 32669 | 2007-07-12 |
| Find all providers in zip 32669 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275813164 | Sarah Jane Zuverino | Massage Therapist | 15305 Nw 5th Ave, Newberry, FL 32669-2824 | 2011-08-23 |
| 1881833028 | John R Mayberry | Massage Therapist | 851 Nw 250th Ter, Suite 2, Newberry, FL 32669-4461 | 2009-02-11 |
| 1912168741 | Suzanne Stewart Wood | Massage Therapist | 107 Sw 140th Ter, Suite 1, Newberry, FL 32669-3367 | 2008-06-24 |
| 1962669606 | Megan Elizabeth Chesser | Massage Therapist | 12830 Sw 1st Ln, Suite 100, Newberry, FL 32669-3260 | 2008-05-20 |
| 1851578975 | Thomas Matthew Kipp | Massage Therapist | 12830 Sw 1st Ln Ste 100, Newberry, FL 32669-3260 | 2008-01-31 |
| 1578762803 | Wanda Lynn Blake | Massage Therapist | 1411 Sw 252nd Ter, Newberry, FL 32669-4416 | 2007-07-17 |
| 1487853271 | Amanda H Mayberry | Massage Therapist | 25355 West Newberry Rd, Newberry, FL 32669 | 2007-07-12 |
| 1366513855 | Ann Cloud Knapp | Massage Therapist | 851 Nw 250 Terrace, Ste 15, Newberry, FL 32669 | 2006-11-13 |
| 1720334907 | Hayley Anne Hunt | Massage Therapist | 2605 Kinard St, Suite 208, Newberry, SC 29108-2967 | 2012-07-25 |
| 1598029555 | Richard Dean Ray | Massage Therapist | 12830 Sw 1st Ln, Suite 100, Newberry, FL 32669-3260 | 2012-06-25 |
| Find all providers in NEWBERRY | ||||
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| 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.