OrganizationActive
Prosport Physical Therapy Professionals Inc
NPI 1649223694 · Specialist · Costa Mesa, CA
Prosport Physical Therapy Professionals Inc is a Specialist organization in Costa Mesa, CA (NPI 1649223694).
Provider details
- NPI number
- 1649223694
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Bobby Ismail, President(209) 353-1988
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2777 Bristol St
Ste B
Costa Mesa, CA 92626-5997
Phone: (949) 250-1112
Fax: (949) 250-1401
Street-level locationGet directions
Mailing address
Po Box 14155
Orange, CA 92863-1555
Other names (DBA / former)
- Former legal business name
- Prosport Physical Therapy Inc
Registry dates
- Enumerated
- 2006-05-19
- 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 1649223694, 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 Specialist (Other Service Providers).
- Where is Prosport Physical Therapy Professionals Inc located?
- Prosport Physical Therapy Professionals Inc's practice location on file with NPPES is 2777 Bristol St, 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.
- 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 (1649223694) 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.