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

Prosport Physical Therapy Professionals Inc

Organization Specialist · NPI 1649223694

Prosport Physical Therapy Professionals Inc is a Specialist in Costa Mesa, California. Registered with an NPI since 2006.

In the registry since
2006
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

2777 Bristol St Ste B
Costa Mesa, CA 92626-5997
Phone: (949) 250-1112
Fax: (949) 250-1401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1649223694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bobby Ismail — President · (209) 353-1988
Other names Prosport Physical Therapy Inc
NPI enumeratedMay 19, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing addressPo Box 14155, Orange, CA 92863-1555

Other providers in Costa Mesa