Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prodigy Rehabilitation Group Inc

Organization Physical Therapist · NPI 1790382505

Prodigy Rehabilitation Group Inc is a Physical Therapist in Elk Grove, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10358 Pedra Do Sol Way
Elk Grove, CA 95757-3471
Phone: (916) 730-7092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Rehabilitation Clinic/Center Taxonomy 261QR0400X

Record details

NPI number1790382505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Babak Amali — President Owner · (916) 730-7092
NPI enumeratedOctober 5, 2020
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing address10358 Pedra Do Sol Way, Elk Grove, CA 95757-3471

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