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

Sports Medicine Institute a Professional Physical Therapy Corp

Organization Physical Therapist · NPI 1144222308

Sports Medicine Institute a Professional Physical Therapy Corp is a Physical Therapist in Orange, California. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

415 W Taft Ave Ste E
Orange, CA 92865-4249
Phone: (714) 939-6200
Fax: (714) 939-6500
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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 number1144222308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joan Boesel — Owner President · (714) 939-6200
NPI enumeratedJune 1, 2005
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address415 W Taft Ave Ste E, Orange, CA 92865-4249

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