Prosport Physical Therapy Professionals Inc
NPI 1073170437 · Physical Therapy Clinic/Center · Costa Mesa, CA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prosport Physical Therapy Professionals Inc is a Physical Therapy Clinic/Center organization in Costa Mesa, CA (NPI 1073170437).
Provider details
- NPI number
- 1073170437
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bobby Ismail, President(209) 353-1988
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (6)
- 26672 Portola Pkwy Ste 116Foothill Ranch, CA 92610-1773Phone: (949) 518-1220
- 26672 Portola Pkwy Ste 116Foothill Ranch, CA 92610-1773Phone: (714) 450-4999
- 23001 Del Lago Dr Ste C1Laguna Hills, CA 92653-1354Phone: (949) 766-8535
- 28924 S Western Ave Ste 101Rancho Palos Verdes, CA 90275-0813Phone: (310) 548-0104
- 22521 Avenida EspresaSte 116Rancho Santa Margarita, CA 92688-9268Phone: (949) 766-8535
- 32302 Camino Capistrano Ste 106San Juan Capistrano, CA 92675-4505Phone: (949) 276-8845
Registry dates
- Enumerated
- 2019-05-21
- Last updated
- 2023-12-06
- Certified
- 2023-12-06
Frequently asked questions
- What is Prosport Physical Therapy Professionals Inc's NPI number?
- Prosport Physical Therapy Professionals Inc's National Provider Identifier (NPI) is 1073170437, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prosport Physical Therapy Professionals Inc?
- Prosport Physical Therapy Professionals Inc is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prosport Physical Therapy Professionals Inc located?
- Prosport Physical Therapy Professionals Inc's practice location on file with NPPES is 2777 Bristol St Ste B, Costa Mesa, CA 92626-5997.
- What is Prosport Physical Therapy Professionals Inc's phone number?
- The practice phone number listed in the NPPES registry for Prosport Physical Therapy Professionals Inc is (949) 250-1112.
- Does Prosport Physical Therapy Professionals Inc accept Medicare?
- Prosport Physical Therapy Professionals Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Prosport Physical Therapy Professionals Inc?
- The authorized official listed on Prosport Physical Therapy Professionals Inc's NPPES record is Bobby Ismail, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prosport Physical Therapy Professionals Inc's NPI active?
- Yes — Prosport Physical Therapy Professionals Inc's NPI (1073170437) is active in the NPPES registry as of the last update on 2023-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.