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PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
NPI 1649223694
Specialist in Costa Mesa, CA

Active since May 19, 2006
2777 BRISTOL ST, STE B, COSTA MESA, CA 92626(949) 250-1112(949) 250-1401 Get Directions Write a Review

NPPES record last updated: December 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 6, 2023, Dec 13, 2021, Jan 9, 2017 (3 updates tracked since 2017).

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 1649223694), doing business as Prosport Physical Therapy Inc, is a healthcare organization registered as a specialist in Costa Mesa, California and active in the NPI registry since May 2006. The organization lists Bobby Ismail, President, as its authorized official.

NPPES Registry Identity

NPI1649223694
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePROSPORT PHYSICAL THERAPY PROFESSIONALS INC
Location Address2777 BRISTOL ST, STE BCosta Mesa, CA 92626-5997
Mailing AddressPo Box 14155Orange, CA 92863-1555 · (714) 450-4999 · Fax (714) 974-0055
Phone(949) 250-1112
Fax(949) 250-1401
Organization SubpartNo
Authorized OfficialBobby IsmailPresident · (209) 353-1988
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 6, 20233 updates tracked since enumeration
NPPES CertifiedDecember 6, 2023
✔ NPI 1649223694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2777 BRISTOL ST, Costa Mesa, CA 92626
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Other Names 1

Former Legal Business NameProsport Physical Therapy Inc

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

BRIANA HALLGREN P.T.
Physical Therapist
2777 BRISTOL ST, SUITE C
COSTA MESA, CA 92626
Orange County (714) 668-1600
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Rehabilitation)
2777 BRISTOL ST, SUITE C
COSTA MESA, CA 92626
Orange County (714) 668-1600
JOSEPH JOHN DONOHUE PT
Physical Therapist
2777 BRISTOL ST, STE B
COSTA MESA, CA 92626
Orange County (949) 250-1112
MRS. ANDREA LEE BELLITTI DPT
Physical Therapist
2777 BRISTOL ST, STE B
COSTA MESA, CA 92626
Orange County (949) 250-1112
RAY JOSE ROMAN DPT
Physical Therapist
2777 BRISTOL ST, STE B
COSTA MESA, CA 92626
Orange County (949) 250-1112
ALYSON RICHELE VASCONCELLOS DPT
Physical Therapist
2777 BRISTOL ST
COSTA MESA, CA 92626
Orange County (949) 250-1112
ASHLEY VICTORIA HENKES PT, DPT
Physical Therapist
2777 BRISTOL ST
COSTA MESA, CA 92626
Orange County (949) 250-1112
SAMANTHA ANN BAUMLER DPT
Physical Therapist
2777 BRISTOL ST, STE B
COSTA MESA, CA 92626
Orange County (949) 250-1112

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 1649223694. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Prosport Physical Therapy Professionals Inc located?

Prosport Physical Therapy Professionals Inc is located at 2777 Bristol St Ste B, Costa Mesa, CA 92626. The listed phone number is (949) 250-1112.

What is Prosport Physical Therapy Professionals Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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 with the weekly NPPES data releases published by CMS.