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PROEDGE PHYSICAL THERAPY
NPI 1609004480
Physical Therapist - Orthopedic in Irvine, CA

Active since June 30, 2009
1124 MAIN ST, SUITE C, IRVINE, CA 92614(949) 679-7755(949) 679-7755 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Proedge Physical Therapy NPPES

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

PROEDGE PHYSICAL THERAPY (NPI 1609004480) is a healthcare organization registered as an orthopedic in Irvine, California and active in the NPI registry since June 2009. The organization lists Sara Sogol Amoli, Owner, as its authorized official.

NPPES Registry Identity

NPI1609004480
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NamePROEDGE PHYSICAL THERAPY
Location Address1124 MAIN ST, SUITE CIrvine, CA 92614-6760
Mailing AddressP.o. Box 13144Newport Beach, CA 92658-5086 · (949) 679-7755 · Fax (949) 679-7755
Phone(949) 679-7755
Fax(949) 679-7755
Organization SubpartNo
Authorized OfficialSara Sogol AmoliOwner · (949) 679-7755
Enumeration DateJune 30, 2009
✔ NPI 1609004480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 26792
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1124 MAIN ST, Irvine, CA 92614
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RHEENA NIETO BURKHARDT DPT, OCS
Physical Therapist
1124 MAIN ST, SUITE C
IRVINE, CA 92614
Orange County (949) 553-8853
SARA SOGOL AMOLI MPT, CSCS
Physical Therapist (Orthopedic)
1124 MAIN ST, SUITE C
IRVINE, CA 92614
Orange County (949) 394-8768
WELL BALANCED BODY INC
Clinic/Center (Physical Therapy)
1124 MAIN ST, SUITE C
IRVINE, CA 92614
Orange County (949) 553-8853

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 Proedge Physical Therapy's NPI number?

The NPI number for Proedge Physical Therapy is 1609004480. It was assigned to this organization in the NPPES registry on June 30, 2009.

Where is Proedge Physical Therapy located?

Proedge Physical Therapy is located at 1124 Main St Suite C, Irvine, CA 92614. The listed phone number is (949) 679-7755.

What is Proedge Physical Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Proedge Physical Therapy was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.