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

Prosport Physical Therapy Professionals Inc

Organization Physical Therapist · NPI 1487648341

Prosport Physical Therapy Professionals Inc is a Physical Therapist in Rancho Palos Verdes, California. Registered with an NPI since 2005.

In the registry since
2005
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

28924 S Western Ave Ste 101
Rancho Palos Verdes, CA 90275-0885
Phone: (310) 548-0104
Fax: (310) 548-0559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1487648341
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPalos Verdes Rehabilitation Clinic Inc
Authorized official Bobby Ismail — President · (209) 353-1988
Other names Palos Verdes Physical Therapy; Prosport Physical Therapy Palos Verdes; Palos Verdes Rehabilitation Clinic Inc
NPI enumeratedSeptember 7, 2005
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing addressPo Box 14155, Orange, CA 92863-1555

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