PROSPORT PHYSICAL THERAPY PROFESSIONALS INC NPI 1487616546

NPI Information

  • NPI: 1487616546
  • Provider Name: PROSPORT PHYSICAL THERAPY PROFESSIONALS INC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Former Legal Business Name: PROSPORT PHYSICAL THERAPY RANCHO SANTA MARG., INC.
  • Address: 22521 AVENIDA EMPRESA STE 116-117
    RANCHO SANTA MARGARITA, CA
    ZIP 92688
  • Phone: (949) 766-8535

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NPI Details

PROSPORT PHYSICAL THERAPY PROFESSIONALS INC is a specialist in Rancho Santa Margarita, CA. The provider is 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. PROSPORT PHYSICAL THERAPY PROFESSIONALS INC NPI is 1487616546. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Prosport Physical Therapy Rancho Santa Marg., Inc..

The provider's business location address is:

22521 AVENIDA EMPRESA STE 116-117
RANCHO SANTA MARGARITA, CA
ZIP 92688-044
Phone: (949) 766-8535
Fax: (949) 766-8540

The provider's authorized official is Bobby Ismail .
The authorized official title is President and has the following contact phone number (209) 353-1988.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 12/6/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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