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 provides Physical Therapist services 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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