PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
NPI 1487648341
Physical Therapist in Rancho Palos Verdes, CA

Active since September 07, 2005
28924 S WESTERN AVE, SUITE 101, RANCHO PALOS VERDES, CA 90275(310) 548-0104(310) 548-0559 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2023, Dec 13, 2021, Sep 16, 2019 (3 updates tracked since 2019).

About Prosport Physical Therapy Professionals Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSPORT PHYSICAL THERAPY PROFESSIONALS INC (NPI 1487648341), doing business as Palos Verdes Rehabilitation Clinic Inc, is a healthcare organization registered as a physical therapist in Rancho Palos Verdes, California and active in the NPI registry since September 2005. The organization lists Bobby Ismail, President, as its authorized official.

NPPES Registry Identity

NPI1487648341
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Location Address28924 S WESTERN AVE, SUITE 101Rancho Palos Verdes, CA 90275-0885
Mailing AddressPo Box 14155Orange, CA 92863-1555 · (714) 450-4999 · Fax (714) 974-0055
Fax(310) 548-0559
Organization SubpartYesParent: Palos Verdes Rehabilitation Clinic Inc
Authorized OfficialBobby IsmailPresident · (209) 353-1988
Enumeration DateSeptember 7, 2005
Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1487648341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
28924 S WESTERN AVE, Rancho Palos Verdes, CA 90275

Other Names 3

Former Legal Business NamePalos Verdes Rehabilitation Clinic Inc
Doing Business AsPalos Verdes Physical Therapy
Doing Business AsProsport Physical Therapy Palos Verdes

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prosport Physical Therapy Professionals Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

111

Medicare enrollment records show 111 clinicians reassign Medicare billing to Prosport Physical Therapy Professionals Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Physical Therapist in Private Practice110
Physical Medicine and Rehabilitation1

Nearest to this location (20)

See all 111
Physical Therapist in Private Practice
NPI 1336224708
28924 S WESTERN AVE STE 101
Rancho Palos Verdes, CA 90275
(310) 539-8800
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1629868948
28924 S WESTERN AVE STE 101
Rancho Palos Verdes, CA 90275
(310) 548-0104
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1356021406
28924 S WESTERN AVE STE 101
Rancho Palos Verdes, CA 90275
(310) 548-0104
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1790188811
28924 S WESTERN AVE STE 101
Rancho Palos Verdes, CA 90275
(310) 548-0104
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1124933643
23133 HAWTHORNE BLVD STE 104
Torrance, CA 90505
(424) 377-1385
✔ Accepts Medicare4.8 mi
Physical Therapist in Private Practice
NPI 1528870763
2355 CRENSHAW BLVD STE 130
Torrance, CA 90501
(310) 539-8800
✔ Accepts Medicare4.8 mi
Physical Therapist in Private Practice
NPI 1609403245
2355 CRENSHAW BLVD STE 130
Torrance, CA 90501
(310) 870-3332
✔ Accepts Medicare4.8 mi
Physical Therapist in Private Practice
NPI 1679308753
2355 CRENSHAW BLVD STE 130
Torrance, CA 90501
(310) 870-3332
✔ Accepts Medicare4.8 mi
Physical Therapist in Private Practice
NPI 1376177824
2355 CRENSHAW BLVD STE 130
Torrance, CA 90501
(310) 870-3332
✔ Accepts Medicare4.8 mi
Physical Therapist in Private Practice
NPI 1194408088
2355 CRENSHAW BLVD STE 130
Torrance, CA 90501
(310) 870-3332
✔ Accepts Medicare4.8 mi
Physical Therapist in Private Practice
NPI 1821184680
559 E CARSON ST
Carson, CA 90745
(424) 201-5242
5.4 mi
Physical Therapist in Private Practice
NPI 1427778216
21081 S WESTERN AVE STE 150
Torrance, CA 90501
(310) 782-3333
✔ Accepts Medicare5.7 mi
Physical Therapist in Private Practice
NPI 1184498172
559 E CARSON ST STE B
Carson, CA 90745
(424) 201-5242
✔ Accepts Medicare5.8 mi
Physical Therapist in Private Practice
NPI 1740805050
559 E CARSON ST STE B
Carson, CA 90745
(424) 201-5242
✔ Accepts Medicare5.8 mi
Physical Therapist in Private Practice
NPI 1679350854
559 E CARSON ST STE B
Carson, CA 90745
(424) 201-5242
✔ Accepts Medicare5.8 mi
Physical Therapist in Private Practice
NPI 1285389924
4028 E BROADWAY
Long Beach, CA 90803
(562) 433-4331
✔ Accepts Medicare9.5 mi
Physical Therapist in Private Practice
NPI 1780409615
5601 W SLAUSON AVE STE 125
Los Angeles, CA 90230
(310) 912-7442
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1275357220
5601 W SLAUSON AVE STE 125
Culver City, CA 90230
(310) 912-7442
✔ Accepts Medicare17 mi
Physical Therapist in Private Practice
NPI 1275214850
5601 W SLAUSON AVE STE 125
Culver City, CA 90230
(310) 912-7442
17 mi
Physical Therapist in Private Practice
NPI 1679210975
5601 W SLAUSON AVE STE 125
Culver City, CA 90230
(310) 912-7442
✔ Accepts Medicare17 mi
See all 111 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prosport Physical Therapy Professionals Inc's NPI number?

The NPI number for Prosport Physical Therapy Professionals Inc is 1487648341. It was assigned to this organization in the NPPES registry on September 7, 2005. The provider is doing business as Palos Verdes Physical Therapy and ProSport Physical Therapy Palos Verdes. The provider was formerly known as Palos Verdes Rehabilitation Clinic Inc.

Where is Prosport Physical Therapy Professionals Inc located?

Prosport Physical Therapy Professionals Inc is located at 28924 S Western Ave Suite 101, Rancho Palos Verdes, CA 90275. The listed phone number is (310) 548-0104.

What is Prosport Physical Therapy Professionals Inc's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Prosport Physical Therapy Professionals Inc enrolled in Medicare?

Yes. Prosport Physical Therapy Professionals Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prosport Physical Therapy Professionals Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 111 clinicians in 2 Medicare specialties reassign their Medicare billing to Prosport Physical Therapy Professionals Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (110) and Physical Medicine and Rehabilitation (1). Of these, 4 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prosport Physical Therapy Professionals Inc was last updated on December 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.